Kathryn Grim Mathis in Elizabeth City - Addiction (substance Use Disorder)
Kathryn Grim Mathis - NPI 1790826790
Kathryn Grim Mathis is a Addiction (substance Use Disorder) in Elizabeth City, North Carolina. Kathryn Grim Mathis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kathryn Grim Mathis is 1790826790. The last update date is 2012-09-24.
Kathryn Grim Mathis's current location address is 3810 Waterside Dr, Elizabeth City, North Carolina. You can contact this provider via phone number 9103868598. The mailing address for Kathryn Grim Mathis is 3810 Waterside Dr, Elizabeth City, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Grim Mathis |
|---|---|
| Address | 3810 Waterside Dr, Elizabeth City, North Carolina |
| Phone Number | 9103868598 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCAS, CSI |
NPI Number Detail
| NPI Number | 1790826790 |
|---|---|
| Provider Enumeration Date | 2007-02-11 |
| Last Updated Date | 2012-09-24 |
Provider Mailing Address Detail
| Address | 3810 Waterside Dr |
|---|---|
| City | Elizabeth City |
| State | North Carolina (NC) |
| Post Code | 279099739 |
| Phone Number | 9103868598 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1124 |
|
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 |
|---|---|---|---|
| 6111930 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kathryn Grim Mathis by the Centers for Medicare & Medicaid Services?
The Kathryn Grim Mathis has been issued the NPI (National Provider Identifier) 1790826790 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kathryn Grim Mathis is physically located?
The Kathryn Grim Mathis is physically situated at the following address: 3810 Waterside Dr, Elizabeth City, NC, 279099739.
What is the Kathryn Grim Mathis's area of specialization and corresponding taxonomy classification?
The Kathryn Grim Mathis'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 did the Centers for Medicare & Medicaid Services assign the 1790826790 to Kathryn Grim Mathis?
The Centers for Medicare & Medicaid Services assigned the 1790826790 to Kathryn Grim Mathis on 2007-02-11.
As of what date were the details pertaining to Kathryn Grim Mathis last refreshed?
The information related to the Kathryn Grim Mathis, including its address, specialty, and other relevant details, was last updated on 2012-09-24.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC