Creta M Roberts is a Counselor in Losantville, Indiana. Creta M Roberts practices all healthcare services and medical treatments related to Counselor. The NPI Number for Creta M Roberts is 1700925096. The last update date is 2007-07-08.
Creta M Roberts's current location address is 14828 Weaver Rd, Losantville, Indiana. You can contact this provider via phone number 7655292213. The mailing address for Creta M Roberts is 14828 Weaver Rd, Losantville, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Creta M Roberts |
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Address | 14828 Weaver Rd, Losantville, Indiana |
Phone Number | 7655292213 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LMHC ED.D |
NPI Number Detail
NPI Number | 1700925096 |
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Provider Enumeration Date | 2007-02-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 14828 Weaver Rd |
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City | Losantville |
State | Indiana (IN) |
Post Code | 473549404 |
Phone Number | 7655292213 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
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Taxonomy | 101Y00000X |
Licence No | 39000154A |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
183232 | IN | BCBS | |
2179267 | IN | UNITED HEALTHCARE | |
11539100 | IN | CAQH | |
472695 | IN | VALUE OPTIONS |
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What is the unique 10-digit identification code issued to Creta M Roberts by the Centers for Medicare & Medicaid Services?
The Creta M Roberts has been assigned the NPI (National Provider Identifier) 1700925096 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Creta M Roberts?
The Creta M Roberts is physically situated at 14828 Weaver Rd, in the city of Losantville, state of IN, with the postal code 473549404.
What is the Creta M Roberts's specialty and taxonomy code?
The Creta M Roberts's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date did the Creta M Roberts receive the assignment of its 1700925096 from the Centers for Medicare & Medicaid Services?
The Creta M Roberts was issued its 1700925096 by the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date were the Creta M Roberts's details last updated?
The information pertaining to the Creta M Roberts, including its address, specialty, and other details, was most recently updated on 2007-07-08.