Kevin Paul Gowder in Kissimmee - Mental Health
Kevin Paul Gowder - NPI 1063458875
Kevin Paul Gowder is a Mental Health in Kissimmee, Florida. Kevin Paul Gowder practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kevin Paul Gowder is 1063458875. The last update date is 2007-07-08.
Kevin Paul Gowder's current location address is 206 Park Place Blvd, Kissimmee, Florida. You can contact this provider via phone number 4078460023 and fax number 4074831064. The mailing address for Kevin Paul Gowder is 206 Park Place Blvd, Kissimmee, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kevin Paul Gowder |
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Address | 206 Park Place Blvd, Kissimmee, Florida |
Phone Number | 4078460023 |
Fax Number | 4074831064 |
Sole Proprietor | N |
Credentials | LMHC |
NPI Number Detail
NPI Number | 1063458875 |
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Provider Enumeration Date | 2006-06-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 206 Park Place Blvd |
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City | Kissimmee |
State | Florida (FL) |
Post Code | 347412344 |
Phone Number | 4078460023 |
Fax Number | 4074831064 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | MH 5671 |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
Z094A | FL | BCBS |
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What is the unique identifier code issued to Kevin Paul Gowder by the Centers for Medicare & Medicaid Services?
The Kevin Paul Gowder has been assigned the NPI (National Provider Identifier) 1063458875. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kevin Paul Gowder?
The Kevin Paul Gowder is situated at 206 Park Place Blvd, in the city of Kissimmee, state of FL, with the zip code 347412344.
What is Kevin Paul Gowder's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin Paul Gowder'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 assign the 1063458875 to Kevin Paul Gowder?
The Centers for Medicare & Medicaid Services assigned the 1063458875 to Kevin Paul Gowder on 2006-06-21.
As of what date were the details pertaining to Kevin Paul Gowder last refreshed?
The information related to the Kevin Paul Gowder, including its address, specialty, and other relevant details, was last updated on 2007-07-08.