Jessica Lynn Randolph in Port Washington - Mental Health
Jessica Lynn Randolph - NPI 1285754366
Jessica Lynn Randolph is a Mental Health in Port Washington, New York. Jessica Lynn Randolph practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jessica Lynn Randolph is 1285754366. The last update date is 2007-07-08.
Jessica Lynn Randolph's current location address is 20 Firwood Rd, Port Washington, New York. You can contact this provider via phone number 5164674425. The mailing address for Jessica Lynn Randolph is 20 Firwood Rd, Port Washington, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Lynn Randolph |
|---|---|
| Address | 20 Firwood Rd, Port Washington, New York |
| Phone Number | 5164674425 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMHC,CRC |
NPI Number Detail
| NPI Number | 1285754366 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20 Firwood Rd |
|---|---|
| City | Port Washington |
| State | New York (NY) |
| Post Code | 110501510 |
| Phone Number | 5164674425 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 96 |
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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 identifier code issued to Jessica Lynn Randolph by the Centers for Medicare & Medicaid Services?
The Jessica Lynn Randolph has been assigned the NPI (National Provider Identifier) 1285754366. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jessica Lynn Randolph's physical address?
The Jessica Lynn Randolph is physically located at 20 Firwood Rd, in the city of Port Washington, NY, with the postal code 110501510.
What is the Jessica Lynn Randolph's specialty and taxonomy code?
The Jessica Lynn Randolph's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1285754366 to Jessica Lynn Randolph?
The Centers for Medicare & Medicaid Services assigned the 1285754366 to Jessica Lynn Randolph on 2007-03-30.
As of what date were the Jessica Lynn Randolph's details last updated?
The information pertaining to the Jessica Lynn Randolph, including its address, specialty, and other details, was most recently updated on 2007-07-08.