Khraythong Soupholphakdy in Santa Rosa - Mental Health
Khraythong Soupholphakdy - NPI 1891902342
Khraythong Soupholphakdy is a Mental Health in Santa Rosa, California. Khraythong Soupholphakdy practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Khraythong Soupholphakdy is 1891902342. The last update date is 2014-08-25.
Khraythong Soupholphakdy's current location address is 1221 Farmers Ln, Santa Rosa, California. You can contact this provider via phone number 7075656953. The mailing address for Khraythong Soupholphakdy is 1221 Farmers Ln, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Khraythong Soupholphakdy |
|---|---|
| Address | 1221 Farmers Ln, Santa Rosa, California |
| Phone Number | 7075656953 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1891902342 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2014-08-25 |
Provider Mailing Address Detail
| Address | 1221 Farmers Ln |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954056712 |
| Phone Number | 7075656953 |
| 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 issued to Khraythong Soupholphakdy by the Centers for Medicare & Medicaid Services?
The Khraythong Soupholphakdy has been assigned the NPI (National Provider Identifier) 1891902342 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Khraythong Soupholphakdy located?
The Khraythong Soupholphakdy is located at 1221 Farmers Ln, Santa Rosa, CA 954056712.
What is Khraythong Soupholphakdy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Khraythong Soupholphakdy is Mental Health, and the taxonomy code that categorizes this field of expertise is 101Ym0800X.
On what date was the 1891902342 assigned to Khraythong Soupholphakdy?
The Khraythong Soupholphakdy was issued its 1891902342 on 2007-05-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Khraythong Soupholphakdy's details last updated?
The information pertaining to the Khraythong Soupholphakdy, including its address, specialty, and other details, was most recently updated on 2014-08-25.
NPI Number: 1972506228
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