Vivian Tarvin Shields in Jackson - Mental Health
Vivian Tarvin Shields - NPI 1497891121
Vivian Tarvin Shields is a Mental Health in Jackson, Mississippi. Vivian Tarvin Shields practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Vivian Tarvin Shields is 1497891121. The last update date is 2007-07-08.
Vivian Tarvin Shields's current location address is 263 Forest Valley Drive, Jackson, Mississippi. You can contact this provider via phone number 6013718937. The mailing address for Vivian Tarvin Shields is 263 Forest Valley Drive, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vivian Tarvin Shields |
|---|---|
| Address | 263 Forest Valley Drive, Jackson, Mississippi |
| Phone Number | 6013718937 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1497891121 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 263 Forest Valley Drive |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39212 |
| Phone Number | 6013718937 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | C0269 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code issued to Vivian Tarvin Shields by the Centers for Medicare & Medicaid Services?
The Vivian Tarvin Shields has been assigned the NPI (National Provider Identifier) 1497891121 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Vivian Tarvin Shields located?
The Vivian Tarvin Shields is located at 263 Forest Valley Drive, Jackson, MS 39212.
What is Vivian Tarvin Shields's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Vivian Tarvin Shields's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497891121 to Vivian Tarvin Shields?
The Vivian Tarvin Shields received its 1497891121 assignment from the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date was the information pertaining to Vivian Tarvin Shields, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Vivian Tarvin Shields, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.