Ima Jean Smith is a Mental Health in Landenberg, Pennsylvania. Ima Jean Smith practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Ima Jean Smith is 1053539510. The last update date is 2011-11-03.
Ima Jean Smith's current location address is 4 Hidden Spring Ln, Landenberg, Pennsylvania. You can contact this provider via phone number 6103577378. The mailing address for Ima Jean Smith is 4 Hidden Spring Ln, Landenberg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ima Jean Smith |
|---|---|
| Address | 4 Hidden Spring Ln, Landenberg, Pennsylvania |
| Phone Number | 6103577378 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1053539510 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2011-11-03 |
Provider Mailing Address Detail
| Address | 4 Hidden Spring Ln |
|---|---|
| City | Landenberg |
| State | Pennsylvania (PA) |
| Post Code | 193509627 |
| Phone Number | 6103577378 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | PC-0000417 |
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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 Ima Jean Smith's unique identification number?
The Ima Jean Smith has been assigned the NPI (National Provider Identifier) Number 1053539510 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Ima Jean Smith is located?
The Ima Jean Smith is situated at the following address: 4 Hidden Spring Ln, Landenberg, PA, 193509627.
What is Ima Jean Smith's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ima Jean Smith'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 originally issue the 1053539510 to Ima Jean Smith?
The Centers for Medicare & Medicaid Services originally issued the 1053539510 to Ima Jean Smith on 2007-04-23.
When was the information pertaining to Ima Jean Smith most recently updated or revised?
The details related to Ima Jean Smith, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-03.
NPI Number: 1083602577
Address: 11535 Carmel Commons Blvd, Charlotte, NC