James W Fendalson in Gulfport - Mental Health
James W Fendalson - NPI 1922012012
James W Fendalson is a Mental Health in Gulfport, Mississippi. James W Fendalson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for James W Fendalson is 1922012012. The last update date is 2007-07-08.
James W Fendalson's current location address is 1600 Broad Ave, Gulfport, Mississippi. You can contact this provider via phone number 2288631132 and fax number 2288651700. The mailing address for James W Fendalson is 1600 Broad Ave, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James W Fendalson |
|---|---|
| Address | 1600 Broad Ave, Gulfport, Mississippi |
| Phone Number | 2288631132 |
| Fax Number | 2288651700 |
| Sole Proprietor | N |
| Credentials | M.DIV,CPT, |
NPI Number Detail
| NPI Number | 1922012012 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1600 Broad Ave |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395013603 |
| Phone Number | 2288631132 |
| Fax Number | 2288651700 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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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 |
|---|---|---|---|
| 18213 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to James W Fendalson by the Centers for Medicare & Medicaid Services?
The James W Fendalson has been issued the NPI (National Provider Identifier) 1922012012, which 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 James W Fendalson is located?
The James W Fendalson is situated at the following address: 1600 Broad Ave, Gulfport, MS, 395013603.
What is James W Fendalson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for James W Fendalson is Mental Health, and the taxonomy code that categorizes this field of expertise is 101Ym0800X.
On what date was the 1922012012 assigned to James W Fendalson?
The James W Fendalson was issued its 1922012012 on 2006-07-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to James W Fendalson last refreshed?
The information related to the James W Fendalson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1215930425
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