Bethany S Stout in Waynoka - Addiction (substance Use Disorder)
Bethany S Stout - NPI 1801019146
Bethany S Stout is a Addiction (substance Use Disorder) in Waynoka, Oklahoma. Bethany S Stout practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bethany S Stout is 1801019146. The last update date is 2010-07-12.
Bethany S Stout's current location address is 1095 Nickerson St, Waynoka, Oklahoma. You can contact this provider via phone number 5808240674. The mailing address for Bethany S Stout is 1095 Nickerson St, Waynoka, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bethany S Stout |
|---|---|
| Address | 1095 Nickerson St, Waynoka, Oklahoma |
| Phone Number | 5808240674 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LADC |
NPI Number Detail
| NPI Number | 1801019146 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2010-07-12 |
Provider Mailing Address Detail
| Address | 1095 Nickerson St |
|---|---|
| City | Waynoka |
| State | Oklahoma (OK) |
| Post Code | 738601252 |
| Phone Number | 5808240674 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 764 |
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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 identifier code issued to Bethany S Stout by the Centers for Medicare & Medicaid Services (CMS)?
The Bethany S Stout has been assigned the NPI (National Provider Identifier) 1801019146. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Bethany S Stout?
The Bethany S Stout is situated at 1095 Nickerson St, in the city of Waynoka, state of OK, with the zip code 738601252.
What is the area of specialization for Bethany S Stout, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bethany S Stout is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801019146 to Bethany S Stout?
The Centers for Medicare & Medicaid Services originally issued the 1801019146 to Bethany S Stout on 2007-04-11.
As of what date were the details related to Bethany S Stout most recently updated or revised?
The information pertaining to Bethany S Stout, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-12.
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