Mina-Ayesha A Blair in Renovo - Addiction (substance Use Disorder)
Mina-Ayesha A Blair - NPI 1235161571
Mina-Ayesha A Blair is a Addiction (substance Use Disorder) in Renovo, Pennsylvania. Mina-Ayesha A Blair practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mina-Ayesha A Blair is 1235161571. The last update date is 2014-06-23.
Mina-Ayesha A Blair's current location address is 65 Gratzmar Ave, Renovo, Pennsylvania. You can contact this provider via phone number 5708580046. The mailing address for Mina-Ayesha A Blair is 65 Gratzmar Ave, Renovo, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mina-Ayesha A Blair |
|---|---|
| Address | 65 Gratzmar Ave, Renovo, Pennsylvania |
| Phone Number | 5708580046 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW, LSW |
NPI Number Detail
| NPI Number | 1235161571 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2014-06-23 |
Provider Mailing Address Detail
| Address | 65 Gratzmar Ave |
|---|---|
| City | Renovo |
| State | Pennsylvania (PA) |
| Post Code | 177649507 |
| Phone Number | 5708580046 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | SW123316 |
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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 10-digit identification code issued to Mina-Ayesha A Blair by the Centers for Medicare & Medicaid Services?
The Mina-Ayesha A Blair has been assigned the NPI (National Provider Identifier) 1235161571 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Mina-Ayesha A Blair's physical address?
The Mina-Ayesha A Blair is physically located at 65 Gratzmar Ave, in the city of Renovo, PA, with the postal code 177649507.
What is Mina-Ayesha A Blair's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mina-Ayesha A Blair is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date was the 1235161571 assigned to Mina-Ayesha A Blair?
The Mina-Ayesha A Blair was issued its 1235161571 on 2006-07-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mina-Ayesha A Blair's details last updated?
The information pertaining to the Mina-Ayesha A Blair, including its address, specialty, and other details, was most recently updated on 2014-06-23.
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