Amber Broadway in Jacksonville - Mental Health
Amber Broadway - NPI 1184787749
Amber Broadway is a Mental Health in Jacksonville, Arkansas. Amber Broadway practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Amber Broadway is 1184787749. The last update date is 2007-07-08.
Amber Broadway's current location address is 2411 W Main St, Jacksonville, Arkansas. You can contact this provider via phone number 5019825402 and fax number 5019825404. The mailing address for Amber Broadway is 2411 W Main St, Jacksonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amber Broadway |
|---|---|
| Address | 2411 W Main St, Jacksonville, Arkansas |
| Phone Number | 5019825402 |
| Fax Number | 5019825404 |
| Sole Proprietor | N |
| Credentials | LPE |
NPI Number Detail
| NPI Number | 1184787749 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2411 W Main St |
|---|---|
| City | Jacksonville |
| State | Arkansas (AR) |
| Post Code | 720764211 |
| Phone Number | 5019825402 |
| Fax Number | 5019825404 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 04-01E |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Amber Broadway by the Centers for Medicare & Medicaid Services?
The Amber Broadway has been assigned the NPI (National Provider Identifier) 1184787749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Amber Broadway is located?
The Amber Broadway is situated at the following address: 2411 W Main St, Jacksonville, AR, 720764211.
What is Amber Broadway's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Amber Broadway's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184787749 to Amber Broadway?
The Amber Broadway received its 1184787749 assignment from the Centers for Medicare & Medicaid Services on 2006-12-18.
When was the information regarding Amber Broadway most recently updated?
The details pertaining to the Amber Broadway, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.