Ricki R Martin in Mahoning - Mental Health

Ricki R Martin - NPI 1003965617

Ricki R Martin is a Mental Health in Mahoning, Ohio. Ricki R Martin practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Ricki R Martin is 1003965617. The last update date is 2007-07-08.

Ricki R Martin's current location address is 5212 Mahoning Ave, Mahoning, Ohio. You can contact this provider via phone number 3307978800 and fax number 3307978808. The mailing address for Ricki R Martin is 5212 Mahoning Ave, Mahoning, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Ricki R Martin
Address 5212 Mahoning Ave, Mahoning, Ohio
Phone Number 3307978800
Fax Number 3307978808
Sole Proprietor N
Credentials LPCC

NPI Number Detail

NPI Number 1003965617
Provider Enumeration Date 2007-01-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5212 Mahoning Ave
City Mahoning
State Ohio (OH)
Post Code 44515
Phone Number 3307978800
Fax Number 3307978808

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
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
7022689 OH AETNA
388413 OH BCBS

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FAQs about Ricki R Martin

What is the unique identifier code issued to Ricki R Martin by the Centers for Medicare & Medicaid Services?

The Ricki R Martin has been assigned the NPI (National Provider Identifier) 1003965617. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Ricki R Martin is physically located?

The Ricki R Martin is situated at the following address: 5212 Mahoning Ave, Mahoning, OH 44515.

What is Ricki R Martin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ricki R Martin is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.

On what date was the 1003965617 assigned to Ricki R Martin?

The Ricki R Martin was issued its 1003965617 on 2007-01-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Ricki R Martin's information last updated?

The Ricki R Martin's information was last updated on 2007-07-08.

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