Phillip Michael Coco in Moreauville - Addiction (substance Use Disorder)

Phillip Michael Coco - NPI 1306950449

Phillip Michael Coco is a Addiction (substance Use Disorder) in Moreauville, Louisiana. Phillip Michael Coco practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Phillip Michael Coco is 1306950449. The last update date is 2010-02-04.

Phillip Michael Coco's current location address is 152 Main St, Moreauville, Louisiana. You can contact this provider via phone number 3184875191 and fax number 3184875184. The mailing address for Phillip Michael Coco is 152 Main St, Moreauville, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Phillip Michael Coco
Address 152 Main St, Moreauville, Louisiana
Phone Number 3184875191
Fax Number 3184875184
Sole Proprietor N
Credentials LAC

NPI Number Detail

NPI Number 1306950449
Provider Enumeration Date 2006-08-18
Last Updated Date 2010-02-04

Provider Mailing Address Detail

Address 152 Main St
City Moreauville
State Louisiana (LA)
Post Code 713552502
Phone Number 3184875191
Fax Number 3184875184

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LAC #798
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
G9759 LA BLUECROSSBLUESHIELD

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FAQs about Phillip Michael Coco

What is the Phillip Michael Coco's unique identification number?

The Phillip Michael Coco has been assigned the NPI (National Provider Identifier) Number 1306950449 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Phillip Michael Coco's facilities are geographically located?

The facilities of Phillip Michael Coco are physically situated at the following location: 152 Main St, Moreauville, LA, 713552502.

What is the Phillip Michael Coco's area of specialization and corresponding taxonomy classification?

The Phillip Michael Coco's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.

On what date was the 1306950449 assigned to Phillip Michael Coco?

The Phillip Michael Coco was issued its 1306950449 on 2006-08-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Phillip Michael Coco most recently updated?

The details pertaining to the Phillip Michael Coco, including its address, specialty, and other relevant information, were last refreshed on 2010-02-04.

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