Merritt Adams in Racine - Addiction (substance Use Disorder)

Merritt Adams - NPI 1013175868

Merritt Adams is a Addiction (substance Use Disorder) in Racine, Wisconsin. Merritt Adams practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Merritt Adams is 1013175868. The last update date is 2008-05-29.

Merritt Adams's current location address is 524 Main Street, Racine, Wisconsin. You can contact this provider via phone number 2626321780 and fax number 2626320895. The mailing address for Merritt Adams is 524 Main Street, Racine, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Merritt Adams
Address 524 Main Street, Racine, Wisconsin
Phone Number 2626321780
Fax Number 2626320895
Sole Proprietor N
Credentials CADCIII

NPI Number Detail

NPI Number 1013175868
Provider Enumeration Date 2008-05-29
Last Updated Date 2008-05-29

Provider Mailing Address Detail

Address 524 Main Street
City Racine
State Wisconsin (WI)
Post Code 534031032
Phone Number 2626321780
Fax Number 2626320895

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 11643 1585
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
39173000 WI --

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FAQs about Merritt Adams

What is the unique provider identifier assigned to Merritt Adams?

The Merritt Adams has been issued the NPI (National Provider Identifier) 1013175868 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Merritt Adams?

The Merritt Adams is situated at 524 Main Street, in the city of Racine, state of WI, with the zip code 534031032.

What is Merritt Adams's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

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

On what date was the 1013175868 assigned to Merritt Adams?

The Merritt Adams was issued its 1013175868 on 2008-05-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Merritt Adams, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Merritt Adams, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-29.

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