Mary Paul Moller in Pocatello - Mental Health
Mary Paul Moller - NPI 1972615219
Mary Paul Moller is a Mental Health in Pocatello, Idaho. Mary Paul Moller practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mary Paul Moller is 1972615219. The last update date is 2016-01-27.
Mary Paul Moller's current location address is 1151 Hospital Way Bldg D, Pocatello, Idaho. You can contact this provider via phone number 2082333353 and fax number 2082331923. The mailing address for Mary Paul Moller is 1151 Hospital Way Bldg D, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Paul Moller |
|---|---|
| Address | 1151 Hospital Way Bldg D, Pocatello, Idaho |
| Phone Number | 2082333353 |
| Fax Number | 2082331923 |
| Sole Proprietor | N |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1972615219 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2016-01-27 |
Provider Mailing Address Detail
| Address | 1151 Hospital Way Bldg D |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832012763 |
| Phone Number | 2082333353 |
| Fax Number | 2082331923 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LCPC-204 |
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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 Mary Paul Moller by the Centers for Medicare & Medicaid Services?
The Mary Paul Moller has been issued the NPI (National Provider Identifier) 1972615219. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary Paul Moller?
The Mary Paul Moller is physically situated at 1151 Hospital Way Bldg D, in the city of Pocatello, state of ID, with the postal code 832012763.
What is Mary Paul Moller's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Paul Moller is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date did Mary Paul Moller receive its 1972615219 assignment from the Centers for Medicare & Medicaid Services?
The Mary Paul Moller was assigned its 1972615219 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mary Paul Moller most recently updated or refreshed?
The details pertaining to the Mary Paul Moller, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-01-27.