Cassi Stark is a Mental Health in South Sioux City, Nebraska. Cassi Stark practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Cassi Stark is 1912102310. The last update date is 2021-10-01.
Cassi Stark's current location address is 1000 W 29th St Ste 230, South Sioux City, Nebraska. You can contact this provider via phone number 4029130552. The mailing address for Cassi Stark is 1000 W 29th St Ste 230, South Sioux City, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cassi Stark |
|---|---|
| Address | 1000 W 29th St Ste 230, South Sioux City, Nebraska |
| Phone Number | 4029130552 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LIMHP |
NPI Number Detail
| NPI Number | 1912102310 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2021-10-01 |
Provider Mailing Address Detail
| Address | 1000 W 29th St Ste 230 |
|---|---|
| City | South Sioux City |
| State | Nebraska (NE) |
| Post Code | 687763852 |
| Phone Number | 4029130552 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 1812 |
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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 |
|---|---|---|---|
| 10025953600 | NE | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Cassi Stark by the Centers for Medicare & Medicaid Services?
The Cassi Stark has been assigned the NPI (National Provider Identifier) 1912102310 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Cassi Stark is physically located?
The Cassi Stark is situated at the following address: 1000 W 29Th St Ste 230, South Sioux City, NE 687763852.
What is the area of specialization for Cassi Stark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Cassi Stark is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Cassi Stark receive the assignment of its 1912102310 from the Centers for Medicare & Medicaid Services?
The Cassi Stark was issued its 1912102310 by the Centers for Medicare & Medicaid Services on 2007-06-18.
As of what date were the details related to Cassi Stark most recently updated or revised?
The information pertaining to Cassi Stark, including its address, specialty, and other relevant details, was last updated or revised on 2021-10-01.