Shelley S Foreman in Gulfport - Mental Health
Shelley S Foreman - NPI 1073796413
Shelley S Foreman is a Mental Health in Gulfport, Mississippi. Shelley S Foreman practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Shelley S Foreman is 1073796413. The last update date is 2007-12-07.
Shelley S Foreman's current location address is 1600 Broad Ave, Gulfport, Mississippi. You can contact this provider via phone number 2288631132. The mailing address for Shelley S Foreman is 1600 Broad Ave, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelley S Foreman |
|---|---|
| Address | 1600 Broad Ave, Gulfport, Mississippi |
| Phone Number | 2288631132 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1073796413 |
|---|---|
| Provider Enumeration Date | 2007-12-07 |
| Last Updated Date | 2007-12-07 |
Provider Mailing Address Detail
| Address | 1600 Broad Ave |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395013603 |
| Phone Number | 2288631132 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 1304 |
|
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 Shelley S Foreman by the Centers for Medicare & Medicaid Services?
The Shelley S Foreman has been issued the NPI (National Provider Identifier) 1073796413, 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 location address where Shelley S Foreman's facilities are situated?
The facilities of Shelley S Foreman are physically located at the following address: 1600 Broad Ave, Gulfport, MS, 395013603.
What is Shelley S Foreman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shelley S Foreman's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
When did Shelley S Foreman receive its 1073796413 assignment?
The Shelley S Foreman was assigned its 1073796413 on 2007-12-07, which is the date when this unique identifier was issued to the organization.
As of what date were the Shelley S Foreman's details last updated?
The information pertaining to the Shelley S Foreman, including its address, specialty, and other details, was most recently updated on 2007-12-07.
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