Dorothy Rene Herdman in St Simons Island - Mental Health

Dorothy Rene Herdman - NPI 1912102948

Dorothy Rene Herdman is a Mental Health in St Simons Island, Georgia. Dorothy Rene Herdman practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Dorothy Rene Herdman is 1912102948. The last update date is 2007-07-08.

Dorothy Rene Herdman's current location address is 409 Holly St, St Simons Island, Georgia. You can contact this provider via phone number 9126341186. The mailing address for Dorothy Rene Herdman is 409 Holly St, St Simons Island, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Dorothy Rene Herdman
Address 409 Holly St, St Simons Island, Georgia
Phone Number 9126341186
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1912102948
Provider Enumeration Date 2007-06-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 409 Holly St
City St Simons Island
State Georgia (GA)
Post Code 315221304
Phone Number 9126341186
Fax Number

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No CSW002956
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
CSW002956 GA SW LICENSE
SW1720 FL LICENSE-SOCIALWORK

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FAQs about Dorothy Rene Herdman

What is the unique 10-digit identification code assigned to Dorothy Rene Herdman by the Centers for Medicare & Medicaid Services?

The Dorothy Rene Herdman has been issued the NPI (National Provider Identifier) 1912102948, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Dorothy Rene Herdman located?

The Dorothy Rene Herdman is located at 409 Holly St, St Simons Island, GA 315221304.

What is the Dorothy Rene Herdman's area of specialization and corresponding taxonomy classification?

The Dorothy Rene Herdman's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1912102948 to Dorothy Rene Herdman?

The Centers for Medicare & Medicaid Services assigned the 1912102948 to Dorothy Rene Herdman on 2007-06-19.

As of what date was the information regarding Dorothy Rene Herdman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Dorothy Rene Herdman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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