Sara L De Grave in Wauwatosa - Addiction (substance Use Disorder)
Sara L De Grave - NPI 1770753766
Sara L De Grave is a Addiction (substance Use Disorder) in Wauwatosa, Wisconsin. Sara L De Grave practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sara L De Grave is 1770753766. The last update date is 2021-05-13.
Sara L De Grave's current location address is 2343 N 116th St, Wauwatosa, Wisconsin. You can contact this provider via phone number 4146143751. The mailing address for Sara L De Grave is 2343 N 116th St, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sara L De Grave |
|---|---|
| Address | 2343 N 116th St, Wauwatosa, Wisconsin |
| Phone Number | 4146143751 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S., LPC, |
NPI Number Detail
| NPI Number | 1770753766 |
|---|---|
| Provider Enumeration Date | 2008-03-05 |
| Last Updated Date | 2021-05-13 |
Provider Mailing Address Detail
| Address | 2343 N 116th St |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 532261109 |
| Phone Number | 4146143751 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 15661-132 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identifier code issued to Sara L De Grave by the Centers for Medicare & Medicaid Services?
The Sara L De Grave has been assigned the NPI (National Provider Identifier) 1770753766 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Sara L De Grave's physical address?
The Sara L De Grave is physically located at 2343 N 116Th St, in the city of Wauwatosa, WI, with the postal code 532261109.
What is Sara L De Grave's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sara L De Grave's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did Sara L De Grave receive its 1770753766 assignment from the Centers for Medicare & Medicaid Services?
The Sara L De Grave was assigned its 1770753766 on 2008-03-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Sara L De Grave, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sara L De Grave, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-05-13.