Corella H Shaw is a Counselor in Kingstree, South Carolina. Corella H Shaw practices all healthcare services and medical treatments related to Counselor. The NPI Number for Corella H Shaw is 1619993136. The last update date is 2007-07-08.
Corella H Shaw's current location address is 68 Ivory Dr, Kingstree, South Carolina. You can contact this provider via phone number 8433825971. The mailing address for Corella H Shaw is 68 Ivory Dr, Kingstree, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corella H Shaw |
|---|---|
| Address | 68 Ivory Dr, Kingstree, South Carolina |
| Phone Number | 8433825971 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1619993136 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 68 Ivory Dr |
|---|---|
| City | Kingstree |
| State | South Carolina (SC) |
| Post Code | 295567048 |
| Phone Number | 8433825971 |
| 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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Post Comment/ Review Below
What is the unique provider identifier assigned to Corella H Shaw?
The Corella H Shaw has been issued the NPI (National Provider Identifier) 1619993136 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Corella H Shaw is located?
The Corella H Shaw is situated at the following address: 68 Ivory Dr, Kingstree, SC, 295567048.
What is Corella H Shaw's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Corella H Shaw's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.
When was the Corella H Shaw's 1619993136 issued?
The Corella H Shaw's 1619993136 was issued on 2006-07-15.
As of what date were the details related to Corella H Shaw most recently updated or revised?
The information pertaining to Corella H Shaw, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.