Kelly Bordman is a Mental Health in Vista, California. Kelly Bordman practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kelly Bordman is 1184753980. The last update date is 2023-02-22.
Kelly Bordman's current location address is 200 Michigan Ave, Vista, California. You can contact this provider via phone number 7607264900 and fax number 7606315633. The mailing address for Kelly Bordman is 200 Michigan Ave, Vista, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Bordman |
|---|---|
| Address | 200 Michigan Ave, Vista, California |
| Phone Number | 7607264900 |
| Fax Number | 7606315633 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1184753980 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2023-02-22 |
Provider Mailing Address Detail
| Address | 200 Michigan Ave |
|---|---|
| City | Vista |
| State | California (CA) |
| Post Code | 920845424 |
| Phone Number | 7607264900 |
| Fax Number | 7606315633 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23635 | CA | ASW INTERN REGISTRATION # |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelly Bordman by the Centers for Medicare & Medicaid Services?
The Kelly Bordman has been issued the NPI (National Provider Identifier) 1184753980, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kelly Bordman is physically located?
The Kelly Bordman is situated at the following address: 200 Michigan Ave, Vista, CA 920845424.
What is the Kelly Bordman's specialty and taxonomy code?
The Kelly Bordman's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Kelly Bordman receive the assignment of its 1184753980 from the Centers for Medicare & Medicaid Services?
The Kelly Bordman was issued its 1184753980 by the Centers for Medicare & Medicaid Services on 2007-03-05.
As of what date was the information pertaining to Kelly Bordman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly Bordman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-02-22.
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