Millicent Clemons Jordan in Charleston - Mental Health
Millicent Clemons Jordan - NPI 1235194218
Millicent Clemons Jordan is a Mental Health in Charleston, South Carolina. Millicent Clemons Jordan practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Millicent Clemons Jordan is 1235194218. The last update date is 2008-07-31.
Millicent Clemons Jordan's current location address is 1 Carriage Ln, Charleston, South Carolina. You can contact this provider via phone number 8435735050 and fax number 8435735030. The mailing address for Millicent Clemons Jordan is 1 Carriage Ln, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Millicent Clemons Jordan |
|---|---|
| Address | 1 Carriage Ln, Charleston, South Carolina |
| Phone Number | 8435735050 |
| Fax Number | 8435735030 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1235194218 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2008-07-31 |
Provider Mailing Address Detail
| Address | 1 Carriage Ln |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 294076060 |
| Phone Number | 8435735050 |
| Fax Number | 8435735030 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 2623 |
|
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 |
|---|---|---|---|
| 202569 | SC | MEDICAID HO |
Post Comment/ Review Below
What is the unique identification code assigned to Millicent Clemons Jordan by the Centers for Medicare & Medicaid Services?
The Millicent Clemons Jordan has been issued the NPI (National Provider Identifier) 1235194218. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Millicent Clemons Jordan's physical address?
The Millicent Clemons Jordan is physically located at 1 Carriage Ln, in the city of Charleston, SC, with the postal code 294076060.
What is Millicent Clemons Jordan'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 Millicent Clemons Jordan is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
When did the Millicent Clemons Jordan receive its 1235194218?
The Millicent Clemons Jordan was issued its 1235194218 on 2006-04-20, which is the date when the organization was assigned this unique identifier.
As of what date were the Millicent Clemons Jordan's details last updated?
The information pertaining to the Millicent Clemons Jordan, including its address, specialty, and other details, was most recently updated on 2008-07-31.
NPI Number: 1215930425
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