Mary Kathleen Lichtenwalter in Port Orange - Addiction (substance Use Disorder)
Mary Kathleen Lichtenwalter - NPI 1326104001
Mary Kathleen Lichtenwalter is a Addiction (substance Use Disorder) in Port Orange, Florida. Mary Kathleen Lichtenwalter practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mary Kathleen Lichtenwalter is 1326104001. The last update date is 2015-12-18.
Mary Kathleen Lichtenwalter's current location address is 1730 Dunlawton Ave, Port Orange, Florida. You can contact this provider via phone number 3869573905 and fax number 3864028992. The mailing address for Mary Kathleen Lichtenwalter is 1730 Dunlawton Ave, Port Orange, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kathleen Lichtenwalter |
|---|---|
| Address | 1730 Dunlawton Ave, Port Orange, Florida |
| Phone Number | 3869573905 |
| Fax Number | 3864028992 |
| Sole Proprietor | Y |
| Credentials | LMHC, CAP, |
NPI Number Detail
| NPI Number | 1326104001 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2015-12-18 |
Provider Mailing Address Detail
| Address | 1730 Dunlawton Ave |
|---|---|
| City | Port Orange |
| State | Florida (FL) |
| Post Code | 321278985 |
| Phone Number | 3869573905 |
| Fax Number | 3864028992 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | LCAC 870056A |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200196900A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Kathleen Lichtenwalter by the Centers for Medicare & Medicaid Services?
The Mary Kathleen Lichtenwalter has been assigned the NPI (National Provider Identifier) 1326104001. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary Kathleen Lichtenwalter is geographically located?
The Mary Kathleen Lichtenwalter is physically situated at the following location: 1730 Dunlawton Ave, Port Orange, FL, 321278985.
What is Mary Kathleen Lichtenwalter's area of expertise and its corresponding taxonomy classification?
The Mary Kathleen Lichtenwalter's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Mary Kathleen Lichtenwalter receive its 1326104001 assignment from the Centers for Medicare & Medicaid Services?
The Mary Kathleen Lichtenwalter was assigned its 1326104001 on 2006-12-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mary Kathleen Lichtenwalter most recently updated or refreshed?
The details pertaining to the Mary Kathleen Lichtenwalter, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-12-18.
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