Rachel Lacy Wall in Gulfport - Mental Health
Rachel Lacy Wall - NPI 1548280191
Rachel Lacy Wall is a Mental Health in Gulfport, Mississippi. Rachel Lacy Wall practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Rachel Lacy Wall is 1548280191. The last update date is 2007-07-08.
Rachel Lacy Wall'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 Rachel Lacy Wall is 1600 Broad Ave, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rachel Lacy Wall |
|---|---|
| Address | 1600 Broad Ave, Gulfport, Mississippi |
| Phone Number | 2288631132 |
| Fax Number | 2288651700 |
| Sole Proprietor | N |
| Credentials | LPC,M.ED |
NPI Number Detail
| NPI Number | 1548280191 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| 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 |
| Licence No | 816 |
|
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 |
|---|---|---|---|
| 18213 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Rachel Lacy Wall by the Centers for Medicare & Medicaid Services?
The Rachel Lacy Wall has been issued the NPI (National Provider Identifier) 1548280191, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Rachel Lacy Wall is physically located?
The Rachel Lacy Wall is physically situated at the following address: 1600 Broad Ave, Gulfport, MS, 395013603.
What is Rachel Lacy Wall's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Rachel Lacy Wall is Mental Health, and the taxonomy code that categorizes this field of expertise is 101Ym0800X.
On what date did the Rachel Lacy Wall receive its 1548280191 assignment from the Centers for Medicare & Medicaid Services?
The Rachel Lacy Wall was assigned its 1548280191 by the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the information related to Rachel Lacy Wall most recently updated or refreshed?
The details pertaining to the Rachel Lacy Wall, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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