Tracey A Desjadon in Sumter - Mental Health
Tracey A Desjadon - NPI 1376624486
Tracey A Desjadon is a Mental Health in Sumter, South Carolina. Tracey A Desjadon practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Tracey A Desjadon is 1376624486. The last update date is 2007-07-08.
Tracey A Desjadon's current location address is 215 N. Magnolia St., Sumter, South Carolina. You can contact this provider via phone number 8037759364 and fax number 8037736615. The mailing address for Tracey A Desjadon is 215 N. Magnolia St., Sumter, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey A Desjadon |
|---|---|
| Address | 215 N. Magnolia St., Sumter, South Carolina |
| Phone Number | 8037759364 |
| Fax Number | 8037736615 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1376624486 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 215 N. Magnolia St. |
|---|---|
| City | Sumter |
| State | South Carolina (SC) |
| Post Code | 291511946 |
| Phone Number | 8037759364 |
| Fax Number | 8037736615 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the Tracey A Desjadon's unique identification number?
The Tracey A Desjadon has been assigned the NPI (National Provider Identifier) Number 1376624486 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Tracey A Desjadon's facilities are situated?
The facilities of Tracey A Desjadon are physically located at the following address: 215 N. Magnolia St., Sumter, SC, 291511946.
What is Tracey A Desjadon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracey A Desjadon'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 1376624486 to Tracey A Desjadon?
The Centers for Medicare & Medicaid Services originally issued the 1376624486 to Tracey A Desjadon on 2006-10-17.
As of what date were the details related to Tracey A Desjadon most recently updated or revised?
The information pertaining to Tracey A Desjadon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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