Sam Hustis is a Mental Health in Petaluma, California. Sam Hustis practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Sam Hustis is 1891817466. The last update date is 2023-05-11.
Sam Hustis's current location address is 365 Kuck Ln, Petaluma, California. You can contact this provider via phone number 5107257963. The mailing address for Sam Hustis is 365 Kuck Ln, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sam Hustis |
|---|---|
| Address | 365 Kuck Ln, Petaluma, California |
| Phone Number | 5107257963 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1891817466 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2023-05-11 |
Provider Mailing Address Detail
| Address | 365 Kuck Ln |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949529606 |
| Phone Number | 5107257963 |
| Fax Number |
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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What is the unique 10-digit identification code assigned to Sam Hustis by the Centers for Medicare & Medicaid Services?
The Sam Hustis has been issued the NPI (National Provider Identifier) 1891817466, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Sam Hustis?
The Sam Hustis is physically situated at 365 Kuck Ln, in the city of Petaluma, state of CA, with the postal code 949529606.
What is Sam Hustis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sam Hustis is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.
On what date did Sam Hustis receive its 1891817466 assignment from the Centers for Medicare & Medicaid Services?
The Sam Hustis was assigned its 1891817466 on 2007-04-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Sam Hustis's information last updated?
The Sam Hustis's information was last updated on 2023-05-11.