Holly I Hathaway in Fort Carson - Mental Health
Holly I Hathaway - NPI 1730303074
Holly I Hathaway is a Mental Health in Fort Carson, Colorado. Holly I Hathaway practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Holly I Hathaway is 1730303074. The last update date is 2022-07-21.
Holly I Hathaway's current location address is 160 Cochrane Circle B7500, Fort Carson, Colorado. You can contact this provider via phone number 2076152620. The mailing address for Holly I Hathaway is 160 Cochrane Circle B7500, Fort Carson, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly I Hathaway |
|---|---|
| Address | 160 Cochrane Circle B7500, Fort Carson, Colorado |
| Phone Number | 2076152620 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1730303074 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 160 Cochrane Circle B7500 |
|---|---|
| City | Fort Carson |
| State | Colorado (CO) |
| Post Code | 80913 |
| Phone Number | 2076152620 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LC5406 |
|
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 |
|---|---|---|---|
| 417130099 | ME | -- |
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What is the unique identifier code issued to Holly I Hathaway by the Centers for Medicare & Medicaid Services (CMS)?
The Holly I Hathaway has been assigned the NPI (National Provider Identifier) 1730303074. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Holly I Hathaway located?
The Holly I Hathaway is located at 160 Cochrane Circle B7500, Fort Carson, CO 80913.
What is Holly I Hathaway's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Holly I Hathaway is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
When did the Holly I Hathaway receive its 1730303074?
The Holly I Hathaway was issued its 1730303074 on 2007-04-11, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Holly I Hathaway last refreshed?
The information related to the Holly I Hathaway, including its address, specialty, and other relevant details, was last updated on 2022-07-21.