Robert Wisdom is a Counselor in Manhattan, Kansas. Robert Wisdom practices all healthcare services and medical treatments related to Counselor. The NPI Number for Robert Wisdom is 1063456721. The last update date is 2013-01-24.
Robert Wisdom's current location address is 1558 Hayes Dr, Manhattan, Kansas. You can contact this provider via phone number 7855874315 and fax number 7855874339. The mailing address for Robert Wisdom is 1558 Hayes Dr, Manhattan, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert Wisdom |
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Address | 1558 Hayes Dr, Manhattan, Kansas |
Phone Number | 7855874315 |
Fax Number | 7855874339 |
Sole Proprietor | N |
Credentials | LMLP, LCP |
NPI Number Detail
NPI Number | 1063456721 |
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Provider Enumeration Date | 2006-06-15 |
Last Updated Date | 2013-01-24 |
Provider Mailing Address Detail
Address | 1558 Hayes Dr |
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City | Manhattan |
State | Kansas (KS) |
Post Code | 665025068 |
Phone Number | 7855874315 |
Fax Number | 7855874339 |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
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Taxonomy | 101Y00000X |
Licence No | 157 |
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 |
---|---|---|---|
856662 | KS | BCBS | |
11654652 | CAQH | ||
200441350A | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert Wisdom by the Centers for Medicare & Medicaid Services?
The Robert Wisdom has been issued the NPI (National Provider Identifier) 1063456721 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Robert Wisdom's facilities are geographically located?
The facilities of Robert Wisdom are physically situated at the following location: 1558 Hayes Dr, Manhattan, KS, 665025068.
What is Robert Wisdom'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 Robert Wisdom is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
On what date did Robert Wisdom receive its 1063456721 assignment from the Centers for Medicare & Medicaid Services?
The Robert Wisdom was assigned its 1063456721 on 2006-06-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Robert Wisdom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert Wisdom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-01-24.