Alec Kissack in Fort Bliss - Addiction (substance Use Disorder)
Alec Kissack - NPI 1639241813
Alec Kissack is a Addiction (substance Use Disorder) in Fort Bliss, Texas. Alec Kissack practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Alec Kissack is 1639241813. The last update date is 2023-11-02.
Alec Kissack's current location address is 20415 Gulf Victory Way, Fort Bliss, Texas. You can contact this provider via phone number 9153512555 and fax number 9157444833. The mailing address for Alec Kissack is 20415 Gulf Victory Way, Fort Bliss, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alec Kissack |
|---|---|
| Address | 20415 Gulf Victory Way, Fort Bliss, Texas |
| Phone Number | 9153512555 |
| Fax Number | 9157444833 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1639241813 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2023-11-02 |
Provider Mailing Address Detail
| Address | 20415 Gulf Victory Way |
|---|---|
| City | Fort Bliss |
| State | Texas (TX) |
| Post Code | 799188066 |
| Phone Number | 9153512555 |
| Fax Number | 9157444833 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 10861 |
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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 |
|---|---|---|---|
| 1639241813 | TX | MILITARY | |
| 130880107 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Alec Kissack by the Centers for Medicare & Medicaid Services?
The Alec Kissack has been assigned the NPI (National Provider Identifier) 1639241813 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Alec Kissack is physically located?
The Alec Kissack is situated at the following address: 20415 Gulf Victory Way, Fort Bliss, TX 799188066.
What is Alec Kissack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Alec Kissack is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639241813 to Alec Kissack?
The Centers for Medicare & Medicaid Services originally issued the 1639241813 to Alec Kissack on 2006-11-14.
As of what date were the details related to Alec Kissack most recently updated or revised?
The information pertaining to Alec Kissack, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-02.