Elizabeth Burty Shadden in Jacksonville - Mental Health
Elizabeth Burty Shadden - NPI 1518910116
Elizabeth Burty Shadden is a Mental Health in Jacksonville, Florida. Elizabeth Burty Shadden practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Elizabeth Burty Shadden is 1518910116. The last update date is 2015-04-22.
Elizabeth Burty Shadden's current location address is 655 W 8th St, Jacksonville, Florida. You can contact this provider via phone number 9042443688 and fax number 9042443455. The mailing address for Elizabeth Burty Shadden is 655 W 8th St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Burty Shadden |
|---|---|
| Address | 655 W 8th St, Jacksonville, Florida |
| Phone Number | 9042443688 |
| Fax Number | 9042443455 |
| Sole Proprietor | N |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1518910116 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2015-04-22 |
Provider Mailing Address Detail
| Address | 655 W 8th St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322096511 |
| Phone Number | 9042443688 |
| Fax Number | 9042443455 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH789 |
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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 Elizabeth Burty Shadden by the Centers for Medicare & Medicaid Services?
The Elizabeth Burty Shadden has been assigned the NPI (National Provider Identifier) 1518910116 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Elizabeth Burty Shadden's facilities are situated?
The facilities of Elizabeth Burty Shadden are physically located at the following address: 655 W 8Th St, Jacksonville, FL, 322096511.
What is Elizabeth Burty Shadden's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elizabeth Burty Shadden's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518910116 to Elizabeth Burty Shadden?
The Elizabeth Burty Shadden received its 1518910116 assignment from the Centers for Medicare & Medicaid Services on 2006-05-18.
When was the information regarding Elizabeth Burty Shadden, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Elizabeth Burty Shadden, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-04-22.
NPI Number: 1891797999
Address: Po Box 4048, Houston, TX