Amanda Doman in Bloomington - Addiction (substance Use Disorder)
Amanda Doman - NPI 1205960366
Amanda Doman is a Addiction (substance Use Disorder) in Bloomington, Illinois. Amanda Doman practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Amanda Doman is 1205960366. The last update date is 2007-07-08.
Amanda Doman's current location address is 1003 Martin Luther King Dr, Bloomington, Illinois. You can contact this provider via phone number 3098276026. The mailing address for Amanda Doman is 1003 Martin Luther King Dr, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Doman |
|---|---|
| Address | 1003 Martin Luther King Dr, Bloomington, Illinois |
| Phone Number | 3098276026 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | AA,CADC |
NPI Number Detail
| NPI Number | 1205960366 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1003 Martin Luther King Dr |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617011429 |
| Phone Number | 3098276026 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 25358 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Amanda Doman by the Centers for Medicare & Medicaid Services?
The Amanda Doman has been issued the NPI (National Provider Identifier) 1205960366, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Amanda Doman's facilities are geographically located?
The facilities of Amanda Doman are physically situated at the following location: 1003 Martin Luther King Dr, Bloomington, IL, 617011429.
What is the area of specialization for Amanda Doman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Amanda Doman is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Amanda Doman receive the assignment of its 1205960366 from the Centers for Medicare & Medicaid Services?
The Amanda Doman was issued its 1205960366 by the Centers for Medicare & Medicaid Services on 2007-03-14.
As of what date were the details pertaining to Amanda Doman last refreshed?
The information related to the Amanda Doman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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