Johnny Nutt in Mineola - Addiction (substance Use Disorder)
Johnny Nutt - NPI 1861480626
Johnny Nutt is a Addiction (substance Use Disorder) in Mineola, Texas. Johnny Nutt practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Johnny Nutt is 1861480626. The last update date is 2007-07-08.
Johnny Nutt's current location address is 1120 N Pacific St, Mineola, Texas. You can contact this provider via phone number 9035699110 and fax number 9035699155. The mailing address for Johnny Nutt is 1120 N Pacific St, Mineola, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny Nutt |
|---|---|
| Address | 1120 N Pacific St, Mineola, Texas |
| Phone Number | 9035699110 |
| Fax Number | 9035699155 |
| Sole Proprietor | X |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1861480626 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1120 N Pacific St |
|---|---|
| City | Mineola |
| State | Texas (TX) |
| Post Code | 757731870 |
| Phone Number | 9035699110 |
| Fax Number | 9035699155 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 5040 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Johnny Nutt?
The Johnny Nutt has been issued the NPI (National Provider Identifier) 1861480626 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Johnny Nutt is physically located?
The Johnny Nutt is situated at the following address: 1120 N Pacific St, Mineola, TX 757731870.
What is Johnny Nutt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Johnny Nutt's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Johnny Nutt receive its 1861480626 assignment from the Centers for Medicare & Medicaid Services?
The Johnny Nutt was assigned its 1861480626 by the Centers for Medicare & Medicaid Services on 2005-10-06.
As of what date were the details related to Johnny Nutt most recently updated or revised?
The information pertaining to Johnny Nutt, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.