Harold Lee Vandervelde in Champaign - Mental Health
Harold Lee Vandervelde - NPI 1164586426
Harold Lee Vandervelde is a Mental Health in Champaign, Illinois. Harold Lee Vandervelde practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Harold Lee Vandervelde is 1164586426. The last update date is 2007-07-08.
Harold Lee Vandervelde's current location address is 202 W Park Ave, Champaign, Illinois. You can contact this provider via phone number 2173732430 and fax number 2173732444. The mailing address for Harold Lee Vandervelde is 202 W Park Ave, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Harold Lee Vandervelde |
|---|---|
| Address | 202 W Park Ave, Champaign, Illinois |
| Phone Number | 2173732430 |
| Fax Number | 2173732444 |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1164586426 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 202 W Park Ave |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618203929 |
| Phone Number | 2173732430 |
| Fax Number | 2173732444 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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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 Harold Lee Vandervelde by the Centers for Medicare & Medicaid Services?
The Harold Lee Vandervelde has been issued the NPI (National Provider Identifier) 1164586426. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Harold Lee Vandervelde located?
The Harold Lee Vandervelde is located at 202 W Park Ave, Champaign, IL 618203929.
What is Harold Lee Vandervelde's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Harold Lee Vandervelde is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date did the Harold Lee Vandervelde receive the assignment of its 1164586426 from the Centers for Medicare & Medicaid Services?
The Harold Lee Vandervelde was issued its 1164586426 by the Centers for Medicare & Medicaid Services on 2006-12-21.
When was the information regarding Harold Lee Vandervelde, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Harold Lee Vandervelde, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1356344279
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