Elice Marie Miracle in Corbin - Mental Health
Elice Marie Miracle - NPI 1316165087
Elice Marie Miracle is a Mental Health in Corbin, Kentucky. Elice Marie Miracle practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Elice Marie Miracle is 1316165087. The last update date is 2007-07-08.
Elice Marie Miracle's current location address is 1203 American Greeting Rd, Corbin, Kentucky. You can contact this provider via phone number 6065287010. The mailing address for Elice Marie Miracle is 1203 American Greeting Rd, Corbin, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elice Marie Miracle |
|---|---|
| Address | 1203 American Greeting Rd, Corbin, Kentucky |
| Phone Number | 6065287010 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPCA, M.ED |
NPI Number Detail
| NPI Number | 1316165087 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1203 American Greeting Rd |
|---|---|
| City | Corbin |
| State | Kentucky (KY) |
| Post Code | 407014811 |
| Phone Number | 6065287010 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 237 |
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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 identifier code issued to Elice Marie Miracle by the Centers for Medicare & Medicaid Services (CMS)?
The Elice Marie Miracle has been assigned the NPI (National Provider Identifier) 1316165087. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Elice Marie Miracle located?
The Elice Marie Miracle is located at 1203 American Greeting Rd, Corbin, KY 407014811.
What is Elice Marie Miracle's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elice Marie Miracle's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316165087 to Elice Marie Miracle?
The Elice Marie Miracle received its 1316165087 assignment from the Centers for Medicare & Medicaid Services on 2007-04-20.
As of what date were the details related to Elice Marie Miracle most recently updated or revised?
The information pertaining to Elice Marie Miracle, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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