Jimmy Noel Gardner in Talihina - Mental Health
Jimmy Noel Gardner - NPI 1831246867
Jimmy Noel Gardner is a Mental Health in Talihina, Oklahoma. Jimmy Noel Gardner practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jimmy Noel Gardner is 1831246867. The last update date is 2008-01-31.
Jimmy Noel Gardner's current location address is 1 Choctaw Way, Talihina, Oklahoma. You can contact this provider via phone number 9186490406. The mailing address for Jimmy Noel Gardner is 1 Choctaw Way, Talihina, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmy Noel Gardner |
|---|---|
| Address | 1 Choctaw Way, Talihina, Oklahoma |
| Phone Number | 9186490406 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1831246867 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2008-01-31 |
Provider Mailing Address Detail
| Address | 1 Choctaw Way |
|---|---|
| City | Talihina |
| State | Oklahoma (OK) |
| Post Code | 745712022 |
| Phone Number | 9186490406 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 1795 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 74120000 | TN | MAGELLAN HEALTH | |
| 410 3815 | TN | BLUE CROSS BLUE SHIELD | |
| 7712661 | TN | AETNA |
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What is the Jimmy Noel Gardner's unique identification number?
The Jimmy Noel Gardner has been assigned the NPI (National Provider Identifier) Number 1831246867 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jimmy Noel Gardner located?
The Jimmy Noel Gardner is located at 1 Choctaw Way, Talihina, OK 745712022.
What is the Jimmy Noel Gardner's area of specialization and corresponding taxonomy classification?
The Jimmy Noel Gardner's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1831246867 to Jimmy Noel Gardner?
The Centers for Medicare & Medicaid Services assigned the 1831246867 to Jimmy Noel Gardner on 2007-01-04.
When was the Jimmy Noel Gardner's information last updated?
The Jimmy Noel Gardner's information was last updated on 2008-01-31.