Elaine Tan is a Mental Health in Longwood, Florida. Elaine Tan practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Elaine Tan is 1114018660. The last update date is 2008-07-29.
Elaine Tan's current location address is 555 W State Road 434, Longwood, Florida. You can contact this provider via phone number 3218422175. The mailing address for Elaine Tan is 555 W State Road 434, Longwood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elaine Tan |
|---|---|
| Address | 555 W State Road 434, Longwood, Florida |
| Phone Number | 3218422175 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS, LMHC |
NPI Number Detail
| NPI Number | 1114018660 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2008-07-29 |
Provider Mailing Address Detail
| Address | 555 W State Road 434 |
|---|---|
| City | Longwood |
| State | Florida (FL) |
| Post Code | 327505119 |
| Phone Number | 3218422175 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH6775 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 763370000 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Elaine Tan by the Centers for Medicare & Medicaid Services?
The Elaine Tan has been assigned the NPI (National Provider Identifier) 1114018660. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Elaine Tan's facilities are situated?
The facilities of Elaine Tan are physically located at the following address: 555 W State Road 434, Longwood, FL, 327505119.
What is Elaine Tan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elaine Tan's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
When did Elaine Tan receive its 1114018660 assignment?
The Elaine Tan was assigned its 1114018660 on 2006-09-28, which is the date when this unique identifier was issued to the organization.
When was the information regarding Elaine Tan most recently updated?
The details pertaining to the Elaine Tan, including its address, specialty, and other relevant information, were last refreshed on 2008-07-29.