Colleen Mangan in Milwaukee - Addiction (substance Use Disorder)

Colleen Mangan - NPI 1124186739

Colleen Mangan is a Addiction (substance Use Disorder) in Milwaukee, Wisconsin. Colleen Mangan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Colleen Mangan is 1124186739. The last update date is 2008-06-18.

Colleen Mangan's current location address is 1225 W Historic Mitchell St Ste 223, Milwaukee, Wisconsin. You can contact this provider via phone number 4143834455 and fax number 4143836759. The mailing address for Colleen Mangan is 1225 W Historic Mitchell St Ste 223, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Colleen Mangan
Address 1225 W Historic Mitchell St Ste 223, Milwaukee, Wisconsin
Phone Number 4143834455
Fax Number 4143836759
Sole Proprietor N
Credentials CSAC

NPI Number Detail

NPI Number 1124186739
Provider Enumeration Date 2006-12-05
Last Updated Date 2008-06-18

Provider Mailing Address Detail

Address 1225 W Historic Mitchell St Ste 223
City Milwaukee
State Wisconsin (WI)
Post Code 532043383
Phone Number 4143834455
Fax Number 4143836759

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 905
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
39381200 WI --

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FAQs about Colleen Mangan

What is the unique 10-digit identifier code issued to Colleen Mangan by the Centers for Medicare & Medicaid Services?

The Colleen Mangan has been assigned the NPI (National Provider Identifier) 1124186739 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Colleen Mangan's facilities are situated?

The facilities of Colleen Mangan are physically located at the following address: 1225 W Historic Mitchell St Ste 223, Milwaukee, WI, 532043383.

What is the area of specialization for Colleen Mangan, and what is the corresponding taxonomy classification code for this field?

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

On what date was the 1124186739 assigned to Colleen Mangan?

The Colleen Mangan was issued its 1124186739 on 2006-12-05, 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 details pertaining to Colleen Mangan last refreshed?

The information related to the Colleen Mangan, including its address, specialty, and other relevant details, was last updated on 2008-06-18.

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