Gwen Stines is a Counselor in Elkhart, Indiana. Gwen Stines practices all healthcare services and medical treatments related to Counselor. The NPI Number for Gwen Stines is 1275526832. The last update date is 2008-07-09.
Gwen Stines's current location address is 307 S Main St, Elkhart, Indiana. You can contact this provider via phone number 5745233347 and fax number 5742967560. The mailing address for Gwen Stines is 307 S Main St, Elkhart, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwen Stines |
|---|---|
| Address | 307 S Main St, Elkhart, Indiana |
| Phone Number | 5745233347 |
| Fax Number | 5742967560 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1275526832 |
|---|---|
| Provider Enumeration Date | 2005-08-29 |
| Last Updated Date | 2008-07-09 |
Provider Mailing Address Detail
| Address | 307 S Main St |
|---|---|
| City | Elkhart |
| State | Indiana (IN) |
| Post Code | 465163102 |
| Phone Number | 5745233347 |
| Fax Number | 5742967560 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 34002493A |
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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 |
|---|---|---|---|
| 34002493A | IN | LCSW LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Gwen Stines by the Centers for Medicare & Medicaid Services?
The Gwen Stines has been issued the NPI (National Provider Identifier) 1275526832. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gwen Stines is physically located?
The Gwen Stines is situated at the following address: 307 S Main St, Elkhart, IN 465163102.
What is Gwen Stines's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gwen Stines's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.
When did the Gwen Stines receive its 1275526832?
The Gwen Stines was issued its 1275526832 on 2005-08-29, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Gwen Stines most recently updated or revised?
The details related to Gwen Stines, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-09.