Brenda Jean Demotte in Apple Valley - Mental Health

Brenda Jean Demotte - NPI 1144307471

Brenda Jean Demotte is a Mental Health in Apple Valley, Minnesota. Brenda Jean Demotte practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Brenda Jean Demotte is 1144307471. The last update date is 2007-07-08.

Brenda Jean Demotte's current location address is 14985 Glazier Ave, Apple Valley, Minnesota. You can contact this provider via phone number 9528912525 and fax number 9528911800. The mailing address for Brenda Jean Demotte is 14985 Glazier Ave, Apple Valley, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Brenda Jean Demotte
Address 14985 Glazier Ave, Apple Valley, Minnesota
Phone Number 9528912525
Fax Number 9528911800
Sole Proprietor Y
Credentials MSW, LICSW

NPI Number Detail

NPI Number 1144307471
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 14985 Glazier Ave
City Apple Valley
State Minnesota (MN)
Post Code 551247484
Phone Number 9528912525
Fax Number 9528911800

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 5559
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
990991046670 MN PREFERREDONE ADMINISTRATA
02S54DE MN BLUECROSS AND BLUESHIELD
62-41666 MN MEDICA
V41193711663852 MN HELATHPARTNERS

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FAQs about Brenda Jean Demotte

What is the unique 10-digit identification code assigned to Brenda Jean Demotte by the Centers for Medicare & Medicaid Services?

The Brenda Jean Demotte has been issued the NPI (National Provider Identifier) 1144307471, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Brenda Jean Demotte is geographically located?

The Brenda Jean Demotte is physically situated at the following location: 14985 Glazier Ave, Apple Valley, MN, 551247484.

What is Brenda Jean Demotte's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Brenda Jean Demotte is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.

On what date did Brenda Jean Demotte receive its 1144307471 assignment from the Centers for Medicare & Medicaid Services?

The Brenda Jean Demotte was assigned its 1144307471 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Brenda Jean Demotte, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Brenda Jean Demotte, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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