Mary Portillos is a Mental Health in Pueblo, Colorado. Mary Portillos practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mary Portillos is 1508984550. The last update date is 2007-07-08.
Mary Portillos's current location address is 1012 W Abriendo Ave, Pueblo, Colorado. You can contact this provider via phone number 7195452746 and fax number 1795840119. The mailing address for Mary Portillos is 1012 W Abriendo Ave, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Portillos |
|---|---|
| Address | 1012 W Abriendo Ave, Pueblo, Colorado |
| Phone Number | 7195452746 |
| Fax Number | 1795840119 |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1508984550 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1012 W Abriendo Ave |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810041128 |
| Phone Number | 7195452746 |
| Fax Number | 1795840119 |
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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Post Comment/ Review Below
What is the unique identifier code issued to Mary Portillos by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Portillos has been assigned the NPI (National Provider Identifier) 1508984550. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Mary Portillos is physically located?
The Mary Portillos is physically situated at the following address: 1012 W Abriendo Ave, Pueblo, CO, 810041128.
What is the Mary Portillos's specialty and taxonomy code?
The Mary Portillos's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did Mary Portillos receive its 1508984550 assignment from the Centers for Medicare & Medicaid Services?
The Mary Portillos was assigned its 1508984550 on 2007-03-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mary Portillos, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Portillos, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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