Brenda Joyce Whitaker in Lufkin - Addiction (substance Use Disorder)

Brenda Joyce Whitaker - NPI 1285795435

Brenda Joyce Whitaker is a Addiction (substance Use Disorder) in Lufkin, Texas. Brenda Joyce Whitaker practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Brenda Joyce Whitaker is 1285795435. The last update date is 2007-07-08.

Brenda Joyce Whitaker's current location address is 4101 S Medford Dr, Lufkin, Texas. You can contact this provider via phone number 9366391141 and fax number 9366335695. The mailing address for Brenda Joyce Whitaker is 4101 S Medford Dr, Lufkin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Brenda Joyce Whitaker
Address 4101 S Medford Dr, Lufkin, Texas
Phone Number 9366391141
Fax Number 9366335695
Sole Proprietor Y
Credentials LCDC

NPI Number Detail

NPI Number 1285795435
Provider Enumeration Date 2006-12-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4101 S Medford Dr
City Lufkin
State Texas (TX)
Post Code 759015633
Phone Number 9366391141
Fax Number 9366335695

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 8757
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
8648BH TX BLUE CROSS BLUE SHIELD

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FAQs about Brenda Joyce Whitaker

What is the unique identifier code issued to Brenda Joyce Whitaker by the Centers for Medicare & Medicaid Services (CMS)?

The Brenda Joyce Whitaker has been assigned the NPI (National Provider Identifier) 1285795435. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Brenda Joyce Whitaker?

The Brenda Joyce Whitaker is physically situated at 4101 S Medford Dr, in the city of Lufkin, state of TX, with the postal code 759015633.

What is the area of specialization for Brenda Joyce Whitaker, and what is the corresponding taxonomy classification code for this field?

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

On what date was the 1285795435 assigned to Brenda Joyce Whitaker?

The Brenda Joyce Whitaker was issued its 1285795435 on 2006-12-12, 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 Brenda Joyce Whitaker's details last updated?

The information pertaining to the Brenda Joyce Whitaker, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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