Deb N Goldberg in Tavernier - Addiction (substance Use Disorder)

Deb N Goldberg - NPI 1518055086

Deb N Goldberg is a Addiction (substance Use Disorder) in Tavernier, Florida. Deb N Goldberg practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Deb N Goldberg is 1518055086. The last update date is 2016-03-02.

Deb N Goldberg's current location address is 151 Azalea St, Tavernier, Florida. You can contact this provider via phone number 3059061032 and fax number 3059066929. The mailing address for Deb N Goldberg is 151 Azalea St, Tavernier, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Deb N Goldberg
Address 151 Azalea St, Tavernier, Florida
Phone Number 3059061032
Fax Number 3059066929
Sole Proprietor Y
Credentials ICAADC, LP

NPI Number Detail

NPI Number 1518055086
Provider Enumeration Date 2006-10-10
Last Updated Date 2016-03-02

Provider Mailing Address Detail

Address 151 Azalea St
City Tavernier
State Florida (FL)
Post Code 330702201
Phone Number 3059061032
Fax Number 3059066929

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No CAC 3835
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11702063 PA CAQH UNIVERSAL CREDENTIALING

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FAQs about Deb N Goldberg

What is the unique 10-digit identifier code assigned to Deb N Goldberg by the Centers for Medicare & Medicaid Services?

The Deb N Goldberg has been issued the NPI (National Provider Identifier) 1518055086 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Deb N Goldberg is physically located?

The Deb N Goldberg is situated at the following address: 151 Azalea St, Tavernier, FL 330702201.

What is the Deb N Goldberg's specialty and taxonomy code?

The Deb N Goldberg's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date did the Deb N Goldberg receive its 1518055086 assignment from the Centers for Medicare & Medicaid Services?

The Deb N Goldberg was assigned its 1518055086 by the Centers for Medicare & Medicaid Services on 2006-10-10.

As of what date were the details related to Deb N Goldberg most recently updated or revised?

The information pertaining to Deb N Goldberg, including its address, specialty, and other relevant details, was last updated or revised on 2016-03-02.

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