Charles Smith in Fort Polk - Addiction (substance Use Disorder)
Charles Smith - NPI 1215035894
Charles Smith is a Addiction (substance Use Disorder) in Fort Polk, Louisiana. Charles Smith practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Charles Smith is 1215035894. The last update date is 2007-07-08.
Charles Smith's current location address is 1585 3rd St, Fort Polk, Louisiana. You can contact this provider via phone number 3375313755. The mailing address for Charles Smith is 1585 3rd St, Fort Polk, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Smith |
|---|---|
| Address | 1585 3rd St, Fort Polk, Louisiana |
| Phone Number | 3375313755 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC, LAC |
NPI Number Detail
| NPI Number | 1215035894 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1585 3rd St |
|---|---|
| City | Fort Polk |
| State | Louisiana (LA) |
| Post Code | 714595102 |
| Phone Number | 3375313755 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 641 |
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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 |
|---|---|---|---|
| 641 | LA | LAC | |
| 1863 | LA | LPC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles Smith?
The Charles Smith has been issued the NPI (National Provider Identifier) 1215035894 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Charles Smith is geographically located?
The Charles Smith is physically situated at the following location: 1585 3Rd St, Fort Polk, LA, 714595102.
What is Charles Smith's area of expertise and its corresponding taxonomy classification?
The Charles Smith'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.
When did Charles Smith receive its 1215035894 assignment?
The Charles Smith was assigned its 1215035894 on 2006-09-20, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215035894 to Charles Smith?
The Centers for Medicare & Medicaid Services originally issued the 1215035894 to Charles Smith on 2006-09-20.
NPI Number: 1063415297
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