Elouise Blackgoat in Gallup - Addiction (substance Use Disorder)
Elouise Blackgoat - NPI 1043415854
Elouise Blackgoat is a Addiction (substance Use Disorder) in Gallup, New Mexico. Elouise Blackgoat practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Elouise Blackgoat is 1043415854. The last update date is 2018-06-28.
Elouise Blackgoat's current location address is 300 W Nizhoni Blvd Ste A, Gallup, New Mexico. You can contact this provider via phone number 5057229470 and fax number 5057229570. The mailing address for Elouise Blackgoat is 300 W Nizhoni Blvd Ste A, Gallup, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elouise Blackgoat |
|---|---|
| Address | 300 W Nizhoni Blvd Ste A, Gallup, New Mexico |
| Phone Number | 5057229470 |
| Fax Number | 5057229570 |
| Sole Proprietor | N |
| Credentials | COUNSELOR |
NPI Number Detail
| NPI Number | 1043415854 |
|---|---|
| Provider Enumeration Date | 2007-06-20 |
| Last Updated Date | 2018-06-28 |
Provider Mailing Address Detail
| Address | 300 W Nizhoni Blvd Ste A |
|---|---|
| City | Gallup |
| State | New Mexico (NM) |
| Post Code | 873015766 |
| Phone Number | 5057229470 |
| Fax Number | 5057229570 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 122361 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique identification code assigned to Elouise Blackgoat by the Centers for Medicare & Medicaid Services?
The Elouise Blackgoat has been issued the NPI (National Provider Identifier) 1043415854. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Elouise Blackgoat is physically located?
The Elouise Blackgoat is physically situated at the following address: 300 W Nizhoni Blvd Ste A, Gallup, NM, 873015766.
What is Elouise Blackgoat's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elouise Blackgoat's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
When did Elouise Blackgoat receive its 1043415854 assignment?
The Elouise Blackgoat was assigned its 1043415854 on 2007-06-20, which is the date when this unique identifier was issued to the organization.
As of what date were the Elouise Blackgoat's details last updated?
The information pertaining to the Elouise Blackgoat, including its address, specialty, and other details, was most recently updated on 2018-06-28.