Coronda Tyeast Carter in Fairfield - Mental Health
Coronda Tyeast Carter - NPI 1700915451
Coronda Tyeast Carter is a Mental Health in Fairfield, California. Coronda Tyeast Carter practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Coronda Tyeast Carter is 1700915451. The last update date is 2017-04-03.
Coronda Tyeast Carter's current location address is 470 Chadbourne Rd Ste F, Fairfield, California. You can contact this provider via phone number 7075574560 and fax number 7075577909. The mailing address for Coronda Tyeast Carter is 470 Chadbourne Rd Ste F, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Coronda Tyeast Carter |
|---|---|
| Address | 470 Chadbourne Rd Ste F, Fairfield, California |
| Phone Number | 7075574560 |
| Fax Number | 7075577909 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1700915451 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2017-04-03 |
Provider Mailing Address Detail
| Address | 470 Chadbourne Rd Ste F |
|---|---|
| City | Fairfield |
| State | California (CA) |
| Post Code | 945349620 |
| Phone Number | 7075574560 |
| Fax Number | 7075577909 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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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 Coronda Tyeast Carter's unique identification number?
The Coronda Tyeast Carter has been assigned the NPI (National Provider Identifier) Number 1700915451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Coronda Tyeast Carter?
The Coronda Tyeast Carter is physically situated at 470 Chadbourne Rd Ste F, in the city of Fairfield, state of CA, with the postal code 945349620.
What is Coronda Tyeast Carter's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Coronda Tyeast Carter'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 Coronda Tyeast Carter receive the assignment of its 1700915451 from the Centers for Medicare & Medicaid Services?
The Coronda Tyeast Carter was issued its 1700915451 by the Centers for Medicare & Medicaid Services on 2007-03-05.
As of what date was the information regarding Coronda Tyeast Carter, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Coronda Tyeast Carter, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-04-03.
NPI Number: 1235235805
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