Andrea M Self is a Mental Health in Conway, Arkansas. Andrea M Self practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Andrea M Self is 1881783959. The last update date is 2007-07-08.
Andrea M Self's current location address is 350 Salem Road Suite 1, Conway, Arkansas. You can contact this provider via phone number 5013368300 and fax number 5013293572. The mailing address for Andrea M Self is 350 Salem Road Suite 1, Conway, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea M Self |
|---|---|
| Address | 350 Salem Road Suite 1, Conway, Arkansas |
| Phone Number | 5013368300 |
| Fax Number | 5013293572 |
| Sole Proprietor | N |
| Credentials | MS LPC |
NPI Number Detail
| NPI Number | 1881783959 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 350 Salem Road Suite 1 |
|---|---|
| City | Conway |
| State | Arkansas (AR) |
| Post Code | 72034 |
| Phone Number | 5013368300 |
| Fax Number | 5013293572 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | P0401001 |
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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 Andrea M Self by the Centers for Medicare & Medicaid Services?
The Andrea M Self has been assigned the NPI (National Provider Identifier) 1881783959. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Andrea M Self is physically located?
The Andrea M Self is situated at the following address: 350 Salem Road Suite 1, Conway, AR 72034.
What is Andrea M Self's specialized field of practice, and what is the corresponding taxonomy classification code?
The Andrea M Self's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
When did Andrea M Self receive its 1881783959 assignment?
The Andrea M Self was assigned its 1881783959 on 2006-10-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Andrea M Self most recently updated or revised?
The information pertaining to Andrea M Self, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.