Kim Ellen in Wilmington - Addiction (substance Use Disorder)
Kim Ellen - NPI 1205025079
Kim Ellen is a Addiction (substance Use Disorder) in Wilmington, North Carolina. Kim Ellen practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kim Ellen is 1205025079. The last update date is 2009-12-16.
Kim Ellen's current location address is 615 Shipyard Blvd, Wilmington, North Carolina. You can contact this provider via phone number 9103430145. The mailing address for Kim Ellen is 615 Shipyard Blvd, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kim Ellen |
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Address | 615 Shipyard Blvd, Wilmington, North Carolina |
Phone Number | 9103430145 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.A., L.P. |
NPI Number Detail
NPI Number | 1205025079 |
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Provider Enumeration Date | 2007-10-17 |
Last Updated Date | 2009-12-16 |
Provider Mailing Address Detail
Address | 615 Shipyard Blvd |
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City | Wilmington |
State | North Carolina (NC) |
Post Code | 284126431 |
Phone Number | 9103430145 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 7567 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the Kim Ellen's 1205025079?
The Kim Ellen's NPI (National Provider Identifier) Number is 1205025079. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kim Ellen located?
The Kim Ellen is located at 615 Shipyard Blvd, Wilmington, NC 284126431.
What is Kim Ellen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kim Ellen's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Kim Ellen receive the assignment of its 1205025079 from the Centers for Medicare & Medicaid Services?
The Kim Ellen was issued its 1205025079 by the Centers for Medicare & Medicaid Services on 2007-10-17.
As of what date were the Kim Ellen's details last updated?
The information pertaining to the Kim Ellen, including its address, specialty, and other details, was most recently updated on 2009-12-16.