Stephanie Jane Smith in Willimantic - Counselor
Stephanie Jane Smith - NPI 1548379266
Stephanie Jane Smith is a Counselor in Willimantic, Connecticut. Stephanie Jane Smith practices all healthcare services and medical treatments related to Counselor. The NPI Number for Stephanie Jane Smith is 1548379266. The last update date is 2007-07-08.
Stephanie Jane Smith's current location address is 40 Bolivia St, Willimantic, Connecticut. You can contact this provider via phone number 8604235353 and fax number 8604235353. The mailing address for Stephanie Jane Smith is 40 Bolivia St, Willimantic, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Jane Smith |
|---|---|
| Address | 40 Bolivia St, Willimantic, Connecticut |
| Phone Number | 8604235353 |
| Fax Number | 8604235353 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1548379266 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 40 Bolivia St |
|---|---|
| City | Willimantic |
| State | Connecticut (CT) |
| Post Code | 62262843 |
| Phone Number | 8604235353 |
| Fax Number | 8604235353 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 1292 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 322796 | MHN | ||
| 240001292CT01 | CT | ANTHEM BCBS | |
| 11244656 | CT | CAQH |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stephanie Jane Smith by the Centers for Medicare & Medicaid Services?
The Stephanie Jane Smith has been assigned the NPI (National Provider Identifier) 1548379266 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Stephanie Jane Smith is physically located?
The Stephanie Jane Smith is situated at the following address: 40 Bolivia St, Willimantic, CT 62262843.
What is the Stephanie Jane Smith's specialty and taxonomy code?
The Stephanie Jane Smith's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
When did Stephanie Jane Smith receive its 1548379266 assignment?
The Stephanie Jane Smith was assigned its 1548379266 on 2006-08-29, which is the date when this unique identifier was issued to the organization.
When was the Stephanie Jane Smith's information last updated?
The Stephanie Jane Smith's information was last updated on 2007-07-08.
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