Mark Richard Elliott in Gansevoort - Mental Health
Mark Richard Elliott - NPI 1891879987
Mark Richard Elliott is a Mental Health in Gansevoort, New York. Mark Richard Elliott practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mark Richard Elliott is 1891879987. The last update date is 2007-07-08.
Mark Richard Elliott's current location address is 20 Sweetbriar Dr, Gansevoort, New York. You can contact this provider via phone number 5185843600 and fax number 5185843747. The mailing address for Mark Richard Elliott is 20 Sweetbriar Dr, Gansevoort, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Richard Elliott |
|---|---|
| Address | 20 Sweetbriar Dr, Gansevoort, New York |
| Phone Number | 5185843600 |
| Fax Number | 5185843747 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1891879987 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20 Sweetbriar Dr |
|---|---|
| City | Gansevoort |
| State | New York (NY) |
| Post Code | 128312526 |
| Phone Number | 5185843600 |
| Fax Number | 5185843747 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | R041228-1 |
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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 Mark Richard Elliott's 1891879987?
The Mark Richard Elliott's NPI (National Provider Identifier) Number is 1891879987. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark Richard Elliott's physical address?
The Mark Richard Elliott is physically located at 20 Sweetbriar Dr, in the city of Gansevoort, NY, with the postal code 128312526.
What is the Mark Richard Elliott's specialty and taxonomy code?
The Mark Richard Elliott's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Mark Richard Elliott receive the assignment of its 1891879987 from the Centers for Medicare & Medicaid Services?
The Mark Richard Elliott was issued its 1891879987 by the Centers for Medicare & Medicaid Services on 2006-10-25.
When was the information regarding Mark Richard Elliott most recently updated?
The details pertaining to the Mark Richard Elliott, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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