Addam Lee Gross is a Mental Health in Phoenix, Arizona. Addam Lee Gross practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Addam Lee Gross is 1164419313. The last update date is 2007-07-09.
Addam Lee Gross's current location address is 6511 N 14th Pl, Phoenix, Arizona. You can contact this provider via phone number 6024866581 and fax number 6023685999. The mailing address for Addam Lee Gross is 6511 N 14th Pl, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Addam Lee Gross |
|---|---|
| Address | 6511 N 14th Pl, Phoenix, Arizona |
| Phone Number | 6024866581 |
| Fax Number | 6023685999 |
| Sole Proprietor | N |
| Credentials | MC, LPC |
NPI Number Detail
| NPI Number | 1164419313 |
|---|---|
| Provider Enumeration Date | 2005-10-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 6511 N 14th Pl |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850141467 |
| Phone Number | 6024866581 |
| Fax Number | 6023685999 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LPC10121 |
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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 |
|---|---|---|---|
| 768509 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Addam Lee Gross by the Centers for Medicare & Medicaid Services?
The Addam Lee Gross has been assigned the NPI (National Provider Identifier) 1164419313. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Addam Lee Gross?
The Addam Lee Gross is situated at 6511 N 14Th Pl, in the city of Phoenix, state of AZ, with the zip code 850141467.
What is Addam Lee Gross's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Addam Lee Gross is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date did Addam Lee Gross receive its 1164419313 assignment from the Centers for Medicare & Medicaid Services?
The Addam Lee Gross was assigned its 1164419313 on 2005-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Addam Lee Gross most recently updated or refreshed?
The details pertaining to the Addam Lee Gross, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.