Shirley O. Conklin in Chesapeake - Counselor
Shirley O. Conklin - NPI 1194804575
Shirley O. Conklin is a Counselor in Chesapeake, Virginia. Shirley O. Conklin practices all healthcare services and medical treatments related to Counselor. The NPI Number for Shirley O. Conklin is 1194804575. The last update date is 2013-09-05.
Shirley O. Conklin's current location address is 224 Great Bridge Blvd, Chesapeake, Virginia. You can contact this provider via phone number 7575479334 and fax number 7578196292. The mailing address for Shirley O. Conklin is 224 Great Bridge Blvd, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shirley O. Conklin |
|---|---|
| Address | 224 Great Bridge Blvd, Chesapeake, Virginia |
| Phone Number | 7575479334 |
| Fax Number | 7578196292 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1194804575 |
|---|---|
| Provider Enumeration Date | 2006-11-04 |
| Last Updated Date | 2013-09-05 |
Provider Mailing Address Detail
| Address | 224 Great Bridge Blvd |
|---|---|
| City | Chesapeake |
| State | Virginia (VA) |
| Post Code | 233203904 |
| Phone Number | 7575479334 |
| Fax Number | 7578196292 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 701003283 |
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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 |
|---|---|---|---|
| 143676 | VA | ANTHEM TRIGON | |
| 484893000 | VA | MAGELLAN HEALTH | |
| 89111 | VA | OPTIMA/SENTARA | |
| 518306 | VA | VALUE OPTIONS | |
| 343506 | VA | FED HEALTH NET TRICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Shirley O. Conklin by the Centers for Medicare & Medicaid Services (CMS)?
The Shirley O. Conklin has been assigned the NPI (National Provider Identifier) 1194804575. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Shirley O. Conklin's physical address?
The Shirley O. Conklin is physically located at 224 Great Bridge Blvd, in the city of Chesapeake, VA, with the postal code 233203904.
What is the Shirley O. Conklin's area of specialization and corresponding taxonomy classification?
The Shirley O. Conklin's specialty field is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1194804575 assigned to Shirley O. Conklin?
The Shirley O. Conklin was issued its 1194804575 on 2006-11-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Shirley O. Conklin most recently updated or revised?
The details related to Shirley O. Conklin, including its address, specialty, and other relevant information, were last updated or revised on 2013-09-05.