Candace Dawn Brewer in Russellville - Mental Health
Candace Dawn Brewer - NPI 1891967576
Candace Dawn Brewer is a Mental Health in Russellville, Arkansas. Candace Dawn Brewer practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Candace Dawn Brewer is 1891967576. The last update date is 2008-04-02.
Candace Dawn Brewer's current location address is 110 Skyline Dr, Russellville, Arkansas. You can contact this provider via phone number 4799675570 and fax number 4798905364. The mailing address for Candace Dawn Brewer is 110 Skyline Dr, Russellville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candace Dawn Brewer |
|---|---|
| Address | 110 Skyline Dr, Russellville, Arkansas |
| Phone Number | 4799675570 |
| Fax Number | 4798905364 |
| Sole Proprietor | N |
| Credentials | LAC |
NPI Number Detail
| NPI Number | 1891967576 |
|---|---|
| Provider Enumeration Date | 2008-04-02 |
| Last Updated Date | 2008-04-02 |
Provider Mailing Address Detail
| Address | 110 Skyline Dr |
|---|---|
| City | Russellville |
| State | Arkansas (AR) |
| Post Code | 728013362 |
| Phone Number | 4799675570 |
| Fax Number | 4798905364 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | A0711088 |
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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 10-digit identification code assigned to Candace Dawn Brewer by the Centers for Medicare & Medicaid Services?
The Candace Dawn Brewer has been issued the NPI (National Provider Identifier) 1891967576, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Candace Dawn Brewer?
The Candace Dawn Brewer is situated at 110 Skyline Dr, in the city of Russellville, state of AR, with the zip code 728013362.
What is Candace Dawn Brewer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Candace Dawn Brewer is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did Candace Dawn Brewer receive its 1891967576 assignment from the Centers for Medicare & Medicaid Services?
The Candace Dawn Brewer was assigned its 1891967576 on 2008-04-02, 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 Candace Dawn Brewer most recently updated or refreshed?
The details pertaining to the Candace Dawn Brewer, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-02.
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