Elizabeth Rose Mattax in Forest Park - Mental Health
Elizabeth Rose Mattax - NPI 1386787026
Elizabeth Rose Mattax is a Mental Health in Forest Park, Illinois. Elizabeth Rose Mattax practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Elizabeth Rose Mattax is 1386787026. The last update date is 2007-07-08.
Elizabeth Rose Mattax's current location address is 540 Ferdinand Ave, Forest Park, Illinois. You can contact this provider via phone number 7087143200. The mailing address for Elizabeth Rose Mattax is 540 Ferdinand Ave, Forest Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Rose Mattax |
|---|---|
| Address | 540 Ferdinand Ave, Forest Park, Illinois |
| Phone Number | 7087143200 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1386787026 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 540 Ferdinand Ave |
|---|---|
| City | Forest Park |
| State | Illinois (IL) |
| Post Code | 601301889 |
| Phone Number | 7087143200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 180002222 |
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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 10-digit identification code assigned to Elizabeth Rose Mattax by the Centers for Medicare & Medicaid Services?
The Elizabeth Rose Mattax has been issued the NPI (National Provider Identifier) 1386787026, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Elizabeth Rose Mattax is located?
The Elizabeth Rose Mattax is situated at the following address: 540 Ferdinand Ave, Forest Park, IL, 601301889.
What is Elizabeth Rose Mattax's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Elizabeth Rose Mattax is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date did the Elizabeth Rose Mattax receive the assignment of its 1386787026 from the Centers for Medicare & Medicaid Services?
The Elizabeth Rose Mattax was issued its 1386787026 by the Centers for Medicare & Medicaid Services on 2007-02-14.
When was the information regarding Elizabeth Rose Mattax, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Elizabeth Rose Mattax, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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