Susane Erickson in Morgantown - Mental Health
Susane Erickson - NPI 1629067004
Susane Erickson is a Mental Health in Morgantown, . Susane Erickson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Susane Erickson is 1629067004. The last update date is 2011-01-24.
Susane Erickson's current location address is 301 Scott Ave, Morgantown, . You can contact this provider via phone number 3043667174 and fax number 3042252288. The mailing address for Susane Erickson is 301 Scott Ave, Morgantown, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susane Erickson |
|---|---|
| Address | 301 Scott Ave, Morgantown, |
| Phone Number | 3043667174 |
| Fax Number | 3042252288 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1629067004 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2011-01-24 |
Provider Mailing Address Detail
| Address | 301 Scott Ave |
|---|---|
| City | Morgantown |
| State | (WV) |
| Post Code | 265088804 |
| Phone Number | 3043667174 |
| Fax Number | 3042252288 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 7654 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z086G | FL | BCBS | |
| 766307200 | FL | -- |
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What is the Susane Erickson's unique identification number?
The Susane Erickson has been assigned the NPI (National Provider Identifier) Number 1629067004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Susane Erickson?
The Susane Erickson is physically situated at 301 Scott Ave, in the city of Morgantown, state of WV, with the postal code 265088804.
What is the area of specialization for Susane Erickson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susane Erickson is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629067004 to Susane Erickson?
The Centers for Medicare & Medicaid Services assigned the 1629067004 to Susane Erickson on 2005-10-18.
As of what date were the Susane Erickson's details last updated?
The information pertaining to the Susane Erickson, including its address, specialty, and other details, was most recently updated on 2011-01-24.
NPI Number: 1376546309
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