Kevin Maxwell in San Luis Obispo - Mental Health
Kevin Maxwell - NPI 1477766376
Kevin Maxwell is a Mental Health in San Luis Obispo, California. Kevin Maxwell practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kevin Maxwell is 1477766376. The last update date is 2007-07-08.
Kevin Maxwell's current location address is 2178 Johnson Avenue, San Luis Obispo, California. You can contact this provider via phone number 8057814741 and fax number 8057811232. The mailing address for Kevin Maxwell is 2178 Johnson Avenue, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Maxwell |
|---|---|
| Address | 2178 Johnson Avenue, San Luis Obispo, California |
| Phone Number | 8057814741 |
| Fax Number | 8057811232 |
| Sole Proprietor | Y |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1477766376 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2178 Johnson Avenue |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 93401 |
| Phone Number | 8057814741 |
| Fax Number | 8057811232 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | PT30081 |
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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 identification code assigned to Kevin Maxwell by the Centers for Medicare & Medicaid Services?
The Kevin Maxwell has been issued the NPI (National Provider Identifier) 1477766376. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kevin Maxwell's facilities are situated?
The facilities of Kevin Maxwell are physically located at the following address: 2178 Johnson Avenue, San Luis Obispo, CA, 93401.
What is Kevin Maxwell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Maxwell'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 Kevin Maxwell receive its 1477766376 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Maxwell was assigned its 1477766376 by the Centers for Medicare & Medicaid Services on 2007-05-07.
As of what date was the information regarding Kevin Maxwell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin Maxwell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1477582294
Address: 5480 Wisconsin Ave Ste 204, Chevy Chase, MD