Elena Maria Fairley in Gulfport - Counselor
Elena Maria Fairley - NPI 1548471188
Elena Maria Fairley is a Counselor in Gulfport, Mississippi. Elena Maria Fairley practices all healthcare services and medical treatments related to Counselor. The NPI Number for Elena Maria Fairley is 1548471188. The last update date is 2017-02-04.
Elena Maria Fairley's current location address is 11352 Mia Cir, Gulfport, Mississippi. You can contact this provider via phone number 2282650755. The mailing address for Elena Maria Fairley is 11352 Mia Cir, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elena Maria Fairley |
|---|---|
| Address | 11352 Mia Cir, Gulfport, Mississippi |
| Phone Number | 2282650755 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1548471188 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2017-02-04 |
Provider Mailing Address Detail
| Address | 11352 Mia Cir |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395033882 |
| Phone Number | 2282650755 |
| Fax Number |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18214 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Elena Maria Fairley by the Centers for Medicare & Medicaid Services?
The Elena Maria Fairley has been issued the NPI (National Provider Identifier) 1548471188. 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 physical address where Elena Maria Fairley is located?
The Elena Maria Fairley is situated at the following address: 11352 Mia Cir, Gulfport, MS, 395033882.
What is Elena Maria Fairley'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 Elena Maria Fairley is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548471188 to Elena Maria Fairley?
The Elena Maria Fairley received its 1548471188 assignment from the Centers for Medicare & Medicaid Services on 2007-05-25.
As of what date was the information pertaining to Elena Maria Fairley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Elena Maria Fairley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-02-04.