Randall L. Overdorff in Gainesville - Counselor
Randall L. Overdorff - NPI 1205057031
Randall L. Overdorff is a Counselor in Gainesville, Georgia. Randall L. Overdorff practices all healthcare services and medical treatments related to Counselor. The NPI Number for Randall L. Overdorff is 1205057031. The last update date is 2022-07-11.
Randall L. Overdorff's current location address is 2038 Pine Tree Cir, Gainesville, Georgia. You can contact this provider via phone number 7705358088 and fax number 7707185531. The mailing address for Randall L. Overdorff is 2038 Pine Tree Cir, Gainesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall L. Overdorff |
|---|---|
| Address | 2038 Pine Tree Cir, Gainesville, Georgia |
| Phone Number | 7705358088 |
| Fax Number | 7707185531 |
| Sole Proprietor | Y |
| Credentials | LPC, LMFT |
NPI Number Detail
| NPI Number | 1205057031 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2022-07-11 |
Provider Mailing Address Detail
| Address | 2038 Pine Tree Cir |
|---|---|
| City | Gainesville |
| State | Georgia (GA) |
| Post Code | 305011334 |
| Phone Number | 7705358088 |
| Fax Number | 7707185531 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 1347 |
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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 |
|---|---|---|---|
| 359454386A | GA | -- |
Post Comment/ Review Below
What is the Randall L. Overdorff's unique identification number?
The Randall L. Overdorff has been assigned the NPI (National Provider Identifier) Number 1205057031 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Randall L. Overdorff?
The Randall L. Overdorff is situated at 2038 Pine Tree Cir, in the city of Gainesville, state of GA, with the zip code 305011334.
What is Randall L. Overdorff's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Randall L. Overdorff is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
When was the Randall L. Overdorff's 1205057031 issued?
The Randall L. Overdorff's 1205057031 was issued on 2007-05-01.
When was the information pertaining to Randall L. Overdorff most recently updated or revised?
The details related to Randall L. Overdorff, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-11.
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