Gilbert Tennyson in Fairfield - Mental Health

Gilbert Tennyson - NPI 1417145129

Gilbert Tennyson is a Mental Health in Fairfield, Illinois. Gilbert Tennyson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Gilbert Tennyson is 1417145129. The last update date is 2007-11-06.

Gilbert Tennyson's current location address is 407 North Basin Rd, Fairfield, Illinois. You can contact this provider via phone number 6188422125 and fax number 6188424154. The mailing address for Gilbert Tennyson is 407 North Basin Rd, Fairfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Gilbert Tennyson
Address 407 North Basin Rd, Fairfield, Illinois
Phone Number 6188422125
Fax Number 6188424154
Sole Proprietor N
Credentials BSW

NPI Number Detail

NPI Number 1417145129
Provider Enumeration Date 2007-10-09
Last Updated Date 2007-11-06

Provider Mailing Address Detail

Address 407 North Basin Rd
City Fairfield
State Illinois (IL)
Post Code 62837
Phone Number 6188422125
Fax Number 6188424154

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Gilbert Tennyson

What is the unique identification code assigned to Gilbert Tennyson by the Centers for Medicare & Medicaid Services?

The Gilbert Tennyson has been issued the NPI (National Provider Identifier) 1417145129. This 10-digit code 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 Gilbert Tennyson is located?

The Gilbert Tennyson is situated at the following address: 407 North Basin Rd, Fairfield, IL, 62837.

What is Gilbert Tennyson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gilbert Tennyson is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1417145129 to Gilbert Tennyson?

The Centers for Medicare & Medicaid Services originally issued the 1417145129 to Gilbert Tennyson on 2007-10-09.

When was the Gilbert Tennyson's information last updated?

The Gilbert Tennyson's information was last updated on 2007-11-06.

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