Thomas Anthony Ballis in Wilmington - Addiction (substance Use Disorder)

Thomas Anthony Ballis - NPI 1982707279

Thomas Anthony Ballis is a Addiction (substance Use Disorder) in Wilmington, North Carolina. Thomas Anthony Ballis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Thomas Anthony Ballis is 1982707279. The last update date is 2019-01-22.

Thomas Anthony Ballis's current location address is 720 N 3rd St, Wilmington, North Carolina. You can contact this provider via phone number 9102512106 and fax number 9102517859. The mailing address for Thomas Anthony Ballis is 720 N 3rd St, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Anthony Ballis
Address 720 N 3rd St, Wilmington, North Carolina
Phone Number 9102512106
Fax Number 9102517859
Sole Proprietor Y
Credentials LCSW, LCAS

NPI Number Detail

NPI Number 1982707279
Provider Enumeration Date 2006-09-05
Last Updated Date 2019-01-22

Provider Mailing Address Detail

Address 720 N 3rd St
City Wilmington
State North Carolina (NC)
Post Code 284013474
Phone Number 9102512106
Fax Number 9102517859

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 447
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
6002056 NC --

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FAQs about Thomas Anthony Ballis

What is the unique 10-digit identifier code assigned to Thomas Anthony Ballis by the Centers for Medicare & Medicaid Services?

The Thomas Anthony Ballis has been issued the NPI (National Provider Identifier) 1982707279 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Thomas Anthony Ballis's physical address?

The Thomas Anthony Ballis is physically located at 720 N 3Rd St, in the city of Wilmington, NC, with the postal code 284013474.

What is the area of specialization for Thomas Anthony Ballis, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Thomas Anthony Ballis is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.

On what date did Thomas Anthony Ballis receive its 1982707279 assignment from the Centers for Medicare & Medicaid Services?

The Thomas Anthony Ballis was assigned its 1982707279 on 2006-09-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Thomas Anthony Ballis last refreshed?

The information related to the Thomas Anthony Ballis, including its address, specialty, and other relevant details, was last updated on 2019-01-22.

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