Gus Tom Diamond is a Mental Health in Mesa, Arizona. Gus Tom Diamond practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Gus Tom Diamond is 1407979578. The last update date is 2007-07-08.
Gus Tom Diamond's current location address is 3134 N 80th St, Mesa, Arizona. You can contact this provider via phone number 6024789831. The mailing address for Gus Tom Diamond is 3134 N 80th St, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gus Tom Diamond |
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Address | 3134 N 80th St, Mesa, Arizona |
Phone Number | 6024789831 |
Fax Number | |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1407979578 |
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Provider Enumeration Date | 2007-04-06 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3134 N 80th St |
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City | Mesa |
State | Arizona (AZ) |
Post Code | 852079765 |
Phone Number | 6024789831 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | LCSW-10267 |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identifier code issued to Gus Tom Diamond by the Centers for Medicare & Medicaid Services (CMS)?
The Gus Tom Diamond has been assigned the NPI (National Provider Identifier) 1407979578. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Gus Tom Diamond located?
The Gus Tom Diamond is located at 3134 N 80Th St, Mesa, AZ 852079765.
What is the area of specialization for Gus Tom Diamond, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gus Tom Diamond is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Gus Tom Diamond receive the assignment of its 1407979578 from the Centers for Medicare & Medicaid Services?
The Gus Tom Diamond was issued its 1407979578 by the Centers for Medicare & Medicaid Services on 2007-04-06.
When was the information related to Gus Tom Diamond most recently updated or refreshed?
The details pertaining to the Gus Tom Diamond, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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