Connie Ruth Dominy in Macon - Mental Health
Connie Ruth Dominy - NPI 1255538161
Connie Ruth Dominy is a Mental Health in Macon, Georgia. Connie Ruth Dominy practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Connie Ruth Dominy is 1255538161. The last update date is 2007-07-08.
Connie Ruth Dominy's current location address is 745 Riverside Drive Ln, Macon, Georgia. You can contact this provider via phone number 4787428785 and fax number 4787423515. The mailing address for Connie Ruth Dominy is 745 Riverside Drive Ln, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie Ruth Dominy |
|---|---|
| Address | 745 Riverside Drive Ln, Macon, Georgia |
| Phone Number | 4787428785 |
| Fax Number | 4787423515 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1255538161 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 745 Riverside Drive Ln |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312012658 |
| Phone Number | 4787428785 |
| Fax Number | 4787423515 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 2333 |
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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 identification code assigned to Connie Ruth Dominy by the Centers for Medicare & Medicaid Services?
The Connie Ruth Dominy has been issued the NPI (National Provider Identifier) 1255538161. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Connie Ruth Dominy's physical address?
The Connie Ruth Dominy is physically located at 745 Riverside Drive Ln, in the city of Macon, GA, with the postal code 312012658.
What is Connie Ruth Dominy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Connie Ruth Dominy's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
When did Connie Ruth Dominy receive its 1255538161 assignment?
The Connie Ruth Dominy was assigned its 1255538161 on 2007-07-03, which is the date when this unique identifier was issued to the organization.
When was the information related to Connie Ruth Dominy most recently updated or refreshed?
The details pertaining to the Connie Ruth Dominy, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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