Diana Kay Anderson in Kewanee - Mental Health
Diana Kay Anderson - NPI 1619190006
Diana Kay Anderson is a Mental Health in Kewanee, Illinois. Diana Kay Anderson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Diana Kay Anderson is 1619190006. The last update date is 2010-01-06.
Diana Kay Anderson's current location address is 129 N Washington St, Kewanee, Illinois. You can contact this provider via phone number 3098831646. The mailing address for Diana Kay Anderson is 129 N Washington St, Kewanee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diana Kay Anderson |
|---|---|
| Address | 129 N Washington St, Kewanee, Illinois |
| Phone Number | 3098831646 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1619190006 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2010-01-06 |
Provider Mailing Address Detail
| Address | 129 N Washington St |
|---|---|
| City | Kewanee |
| State | Illinois (IL) |
| Post Code | 614431851 |
| Phone Number | 3098831646 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 150.009965 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150.009965 | IL | DPR LICENSE | |
| 370984175 | IL | BWAY, INC FEIN |
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What is the unique identification code assigned to Diana Kay Anderson by the Centers for Medicare & Medicaid Services?
The Diana Kay Anderson has been issued the NPI (National Provider Identifier) 1619190006. 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 Diana Kay Anderson?
The Diana Kay Anderson is physically situated at 129 N Washington St, in the city of Kewanee, state of IL, with the postal code 614431851.
What is the Diana Kay Anderson's specialty and taxonomy code?
The Diana Kay Anderson's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
When did Diana Kay Anderson receive its 1619190006 assignment?
The Diana Kay Anderson was assigned its 1619190006 on 2007-04-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Diana Kay Anderson most recently updated or revised?
The information pertaining to Diana Kay Anderson, including its address, specialty, and other relevant details, was last updated or revised on 2010-01-06.
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