Carla Sue Bourne is a Mental Health in Hugo, Oklahoma. Carla Sue Bourne practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Carla Sue Bourne is 1144374612. The last update date is 2016-04-07.
Carla Sue Bourne's current location address is 3103 E Jackson St, Hugo, Oklahoma. You can contact this provider via phone number 5803265279. The mailing address for Carla Sue Bourne is 3103 E Jackson St, Hugo, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carla Sue Bourne |
|---|---|
| Address | 3103 E Jackson St, Hugo, Oklahoma |
| Phone Number | 5803265279 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S., L.B. |
NPI Number Detail
| NPI Number | 1144374612 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2016-04-07 |
Provider Mailing Address Detail
| Address | 3103 E Jackson St |
|---|---|
| City | Hugo |
| State | Oklahoma (OK) |
| Post Code | 747434051 |
| Phone Number | 5803265279 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 72 |
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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 10-digit identifier code assigned to Carla Sue Bourne by the Centers for Medicare & Medicaid Services?
The Carla Sue Bourne has been issued the NPI (National Provider Identifier) 1144374612 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Carla Sue Bourne?
The Carla Sue Bourne is physically situated at 3103 E Jackson St, in the city of Hugo, state of OK, with the postal code 747434051.
What is Carla Sue Bourne's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carla Sue Bourne'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 Centers for Medicare & Medicaid Services assign the 1144374612 to Carla Sue Bourne?
The Centers for Medicare & Medicaid Services assigned the 1144374612 to Carla Sue Bourne on 2007-01-22.
When was the information regarding Carla Sue Bourne most recently updated?
The details pertaining to the Carla Sue Bourne, including its address, specialty, and other relevant information, were last refreshed on 2016-04-07.
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