Thomas Russell Humberd in Knoxville - Mental Health

Thomas Russell Humberd - NPI 1780691626

Thomas Russell Humberd is a Mental Health in Knoxville, Tennessee. Thomas Russell Humberd practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Thomas Russell Humberd is 1780691626. The last update date is 2007-07-08.

Thomas Russell Humberd's current location address is 5410 Homberg Drive, Knoxville, Tennessee. You can contact this provider via phone number 8655883173 and fax number 8655883174. The mailing address for Thomas Russell Humberd is 5410 Homberg Drive, Knoxville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Russell Humberd
Address 5410 Homberg Drive, Knoxville, Tennessee
Phone Number 8655883173
Fax Number 8655883174
Sole Proprietor N
Credentials MS LPC MHS

NPI Number Detail

NPI Number 1780691626
Provider Enumeration Date 2006-08-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5410 Homberg Drive
City Knoxville
State Tennessee (TN)
Post Code 37919
Phone Number 8655883173
Fax Number 8655883174

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No LPC000000160
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
244504 COMPSYCH
9375370 PRINCIPLE GROUP LIFE
1220955 CHA HEALTH
9375370 PRIVATE HEALTH CARE SYSTE
4105431 BLUE CROSS BLUE SHIELD
TN0104 JOHN DEERE HEALTH
359710 MANAGED HEALTH NETWORK

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FAQs about Thomas Russell Humberd

What is the unique provider identifier assigned to Thomas Russell Humberd?

The Thomas Russell Humberd has been issued the NPI (National Provider Identifier) 1780691626 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Thomas Russell Humberd is geographically located?

The Thomas Russell Humberd is physically situated at the following location: 5410 Homberg Drive, Knoxville, TN, 37919.

What is Thomas Russell Humberd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Thomas Russell Humberd is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.

On what date did the Thomas Russell Humberd receive its 1780691626 assignment from the Centers for Medicare & Medicaid Services?

The Thomas Russell Humberd was assigned its 1780691626 by the Centers for Medicare & Medicaid Services on 2006-08-02.

As of what date were the Thomas Russell Humberd's details last updated?

The information pertaining to the Thomas Russell Humberd, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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