Pornthip Chalungsooth in Fayetteville - Counselor
Pornthip Chalungsooth - NPI 1104911510
Pornthip Chalungsooth is a Counselor in Fayetteville, Arkansas. Pornthip Chalungsooth practices all healthcare services and medical treatments related to Counselor. The NPI Number for Pornthip Chalungsooth is 1104911510. The last update date is 2007-07-08.
Pornthip Chalungsooth's current location address is 1005 E. Rolling Hills Dr., Fayetteville, Arkansas. You can contact this provider via phone number 4795821245. The mailing address for Pornthip Chalungsooth is 1005 E. Rolling Hills Dr., Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pornthip Chalungsooth |
|---|---|
| Address | 1005 E. Rolling Hills Dr., Fayetteville, Arkansas |
| Phone Number | 4795821245 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | L.P.C. |
NPI Number Detail
| NPI Number | 1104911510 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1005 E. Rolling Hills Dr. |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 72703 |
| Phone Number | 4795821245 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | P9307012 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identifier code issued to Pornthip Chalungsooth by the Centers for Medicare & Medicaid Services?
The Pornthip Chalungsooth has been assigned the NPI (National Provider Identifier) 1104911510 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Pornthip Chalungsooth?
The Pornthip Chalungsooth is physically situated at 1005 E. Rolling Hills Dr., in the city of Fayetteville, state of AR, with the postal code 72703.
What is Pornthip Chalungsooth's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pornthip Chalungsooth's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.
When did the Pornthip Chalungsooth receive its 1104911510?
The Pornthip Chalungsooth was issued its 1104911510 on 2006-10-03, which is the date when the organization was assigned this unique identifier.
When was the information regarding Pornthip Chalungsooth most recently updated?
The details pertaining to the Pornthip Chalungsooth, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.