Janis A Broadway is a Counselor in Metropolis, Illinois. Janis A Broadway practices all healthcare services and medical treatments related to Counselor. The NPI Number for Janis A Broadway is 1619190121. The last update date is 2007-07-08.
Janis A Broadway's current location address is 206 W 5th St, Metropolis, Illinois. You can contact this provider via phone number 6185249368 and fax number 6185249551. The mailing address for Janis A Broadway is 206 W 5th St, Metropolis, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Janis A Broadway |
|---|---|
| Address | 206 W 5th St, Metropolis, Illinois |
| Phone Number | 6185249368 |
| Fax Number | 6185249551 |
| Sole Proprietor | N |
| Credentials | BA |
NPI Number Detail
| NPI Number | 1619190121 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 206 W 5th St |
|---|---|
| City | Metropolis |
| State | Illinois (IL) |
| Post Code | 629601810 |
| Phone Number | 6185249368 |
| Fax Number | 6185249551 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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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 identification code assigned to Janis A Broadway by the Centers for Medicare & Medicaid Services?
The Janis A Broadway has been issued the NPI (National Provider Identifier) 1619190121, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Janis A Broadway is physically located?
The Janis A Broadway is situated at the following address: 206 W 5Th St, Metropolis, IL 629601810.
What is the area of specialization for Janis A Broadway, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Janis A Broadway is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
On what date did the Janis A Broadway receive the assignment of its 1619190121 from the Centers for Medicare & Medicaid Services?
The Janis A Broadway was issued its 1619190121 by the Centers for Medicare & Medicaid Services on 2007-04-11.
As of what date were the Janis A Broadway's details last updated?
The information pertaining to the Janis A Broadway, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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