Mellisa Gail Douglas in Fishersville - Counselor
Mellisa Gail Douglas - NPI 1720194681
Mellisa Gail Douglas is a Counselor in Fishersville, Virginia. Mellisa Gail Douglas practices all healthcare services and medical treatments related to Counselor. The NPI Number for Mellisa Gail Douglas is 1720194681. The last update date is 2013-12-02.
Mellisa Gail Douglas's current location address is 71 Wilson Blvd Ste A1, Fishersville, Virginia. You can contact this provider via phone number 5409494202 and fax number 5408867380. The mailing address for Mellisa Gail Douglas is 71 Wilson Blvd Ste A1, Fishersville, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mellisa Gail Douglas |
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Address | 71 Wilson Blvd Ste A1, Fishersville, Virginia |
Phone Number | 5409494202 |
Fax Number | 5408867380 |
Sole Proprietor | N |
Credentials | M.ED,LPC |
NPI Number Detail
NPI Number | 1720194681 |
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Provider Enumeration Date | 2006-08-22 |
Last Updated Date | 2013-12-02 |
Provider Mailing Address Detail
Address | 71 Wilson Blvd Ste A1 |
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City | Fishersville |
State | Virginia (VA) |
Post Code | 229392283 |
Phone Number | 5409494202 |
Fax Number | 5408867380 |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
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Taxonomy | 101Y00000X |
Licence No | 701004135 |
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 |
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162090801 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mellisa Gail Douglas by the Centers for Medicare & Medicaid Services?
The Mellisa Gail Douglas has been issued the NPI (National Provider Identifier) 1720194681, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mellisa Gail Douglas?
The Mellisa Gail Douglas is situated at 71 Wilson Blvd Ste A1, in the city of Fishersville, state of VA, with the zip code 229392283.
What is Mellisa Gail Douglas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mellisa Gail Douglas is Counselor, and the taxonomy code that categorizes this field of expertise is 101Y00000X.
On what date did Mellisa Gail Douglas receive its 1720194681 assignment from the Centers for Medicare & Medicaid Services?
The Mellisa Gail Douglas was assigned its 1720194681 on 2006-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mellisa Gail Douglas most recently updated or revised?
The information pertaining to Mellisa Gail Douglas, including its address, specialty, and other relevant details, was last updated or revised on 2013-12-02.
NPI Number: 1225033541
Address: 261 Old York Rd, Jenkintown, PA