Cecilia Mae Skidmore in Grand Rapids - Mental Health
Cecilia Mae Skidmore - NPI 1760533632
Cecilia Mae Skidmore is a Mental Health in Grand Rapids, Michigan. Cecilia Mae Skidmore practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Cecilia Mae Skidmore is 1760533632. The last update date is 2007-07-08.
Cecilia Mae Skidmore's current location address is 1514 Wealthy St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164513008. The mailing address for Cecilia Mae Skidmore is 1514 Wealthy St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cecilia Mae Skidmore |
|---|---|
| Address | 1514 Wealthy St Se, Grand Rapids, Michigan |
| Phone Number | 6164513008 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A., L.P. |
NPI Number Detail
| NPI Number | 1760533632 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1514 Wealthy St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495062755 |
| Phone Number | 6164513008 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 6401001787 |
|
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 |
|---|---|---|---|
| 6401001767 | MI | COUNSELOR LICENSE |
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What is the Cecilia Mae Skidmore's unique identification number?
The Cecilia Mae Skidmore has been assigned the NPI (National Provider Identifier) Number 1760533632 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Cecilia Mae Skidmore is physically located?
The Cecilia Mae Skidmore is situated at the following address: 1514 Wealthy St Se, Grand Rapids, MI 495062755.
What is the Cecilia Mae Skidmore's area of specialization and corresponding taxonomy classification?
The Cecilia Mae Skidmore's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
When did the Cecilia Mae Skidmore receive its 1760533632?
The Cecilia Mae Skidmore was issued its 1760533632 on 2007-01-16, which is the date when the organization was assigned this unique identifier.
When was the Cecilia Mae Skidmore's information last updated?
The Cecilia Mae Skidmore's information was last updated on 2007-07-08.