Kellie Roller in Manchester - Mental Health

Kellie Roller - NPI 1336321009

Kellie Roller is a Mental Health in Manchester, Connecticut. Kellie Roller practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kellie Roller is 1336321009. The last update date is 2007-12-04.

Kellie Roller's current location address is 587 E Middle Tpke, Manchester, Connecticut. You can contact this provider via phone number 8606463888 and fax number 8606454080. The mailing address for Kellie Roller is 587 E Middle Tpke, Manchester, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Kellie Roller
Address 587 E Middle Tpke, Manchester, Connecticut
Phone Number 8606463888
Fax Number 8606454080
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1336321009
Provider Enumeration Date 2007-12-04
Last Updated Date 2007-12-04

Provider Mailing Address Detail

Address 587 E Middle Tpke
City Manchester
State Connecticut (CT)
Post Code 60403731
Phone Number 8606463888
Fax Number 8606454080

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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FAQs about Kellie Roller

What is the unique 10-digit identifier code assigned to Kellie Roller by the Centers for Medicare & Medicaid Services?

The Kellie Roller has been issued the NPI (National Provider Identifier) 1336321009 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Kellie Roller is physically located?

The Kellie Roller is situated at the following address: 587 E Middle Tpke, Manchester, CT 60403731.

What is the Kellie Roller's specialty and taxonomy code?

The Kellie Roller's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1336321009 to Kellie Roller?

The Centers for Medicare & Medicaid Services originally issued the 1336321009 to Kellie Roller on 2007-12-04.

When was the information pertaining to Kellie Roller most recently updated or revised?

The details related to Kellie Roller, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-04.

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