John Anthony Southworth in Troy - Mental Health

John Anthony Southworth - NPI 1457515199

John Anthony Southworth is a Mental Health in Troy, New York. John Anthony Southworth practices all healthcare services and medical treatments related to Mental Health. The NPI Number for John Anthony Southworth is 1457515199. The last update date is 2009-10-09.

John Anthony Southworth's current location address is 2215 Burdet T Ave., Troy, New York. You can contact this provider via phone number 5182713128 and fax number 5182713586. The mailing address for John Anthony Southworth is 2215 Burdet T Ave., Troy, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name John Anthony Southworth
Address 2215 Burdet T Ave., Troy, New York
Phone Number 5182713128
Fax Number 5182713586
Sole Proprietor N
Credentials LMHC

NPI Number Detail

NPI Number 1457515199
Provider Enumeration Date 2008-07-11
Last Updated Date 2009-10-09

Provider Mailing Address Detail

Address 2215 Burdet T Ave.
City Troy
State New York (NY)
Post Code 121802466
Phone Number 5182713128
Fax Number 5182713586

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 001436-1
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
318805 NY --

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FAQs about John Anthony Southworth

What is the unique provider identifier assigned to John Anthony Southworth?

The John Anthony Southworth has been issued the NPI (National Provider Identifier) 1457515199 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where John Anthony Southworth is located?

The John Anthony Southworth is situated at the following address: 2215 Burdet T Ave., Troy, NY, 121802466.

What is John Anthony Southworth's specialized field of practice, and what is the corresponding taxonomy classification code?

The John Anthony Southworth's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.

On what date did the John Anthony Southworth receive its 1457515199 assignment from the Centers for Medicare & Medicaid Services?

The John Anthony Southworth was assigned its 1457515199 by the Centers for Medicare & Medicaid Services on 2008-07-11.

As of what date was the information regarding John Anthony Southworth, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Anthony Southworth, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-10-09.

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