Louisa Etheredge in Jacksonville - Mental Health
Louisa Etheredge - NPI 1457454779
Louisa Etheredge is a Mental Health in Jacksonville, Florida. Louisa Etheredge practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Louisa Etheredge is 1457454779. The last update date is 2007-07-08.
Louisa Etheredge's current location address is 5776 Saint Augustine Rd, Jacksonville, Florida. You can contact this provider via phone number 9044484700 and fax number 9044484717. The mailing address for Louisa Etheredge is 5776 Saint Augustine Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Louisa Etheredge |
|---|---|
| Address | 5776 Saint Augustine Rd, Jacksonville, Florida |
| Phone Number | 9044484700 |
| Fax Number | 9044484717 |
| Sole Proprietor | N |
| Credentials | M.ED. IN C |
NPI Number Detail
| NPI Number | 1457454779 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5776 Saint Augustine Rd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078030 |
| Phone Number | 9044484700 |
| Fax Number | 9044484717 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH 3352 |
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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 identifier code issued to Louisa Etheredge by the Centers for Medicare & Medicaid Services?
The Louisa Etheredge has been assigned the NPI (National Provider Identifier) 1457454779 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Louisa Etheredge located?
The Louisa Etheredge is located at 5776 Saint Augustine Rd, Jacksonville, FL 322078030.
What is Louisa Etheredge's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Louisa Etheredge's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457454779 to Louisa Etheredge?
The Centers for Medicare & Medicaid Services assigned the 1457454779 to Louisa Etheredge on 2006-09-06.
As of what date were the Louisa Etheredge's details last updated?
The information pertaining to the Louisa Etheredge, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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