Jim Coventry is a Mental Health in Amarillo, Texas. Jim Coventry practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jim Coventry is 1447251988. The last update date is 2007-07-08.
Jim Coventry's current location address is 1616 S Kentucky St, Amarillo, Texas. You can contact this provider via phone number 8064637001 and fax number 8064637006. The mailing address for Jim Coventry is 1616 S Kentucky St, Amarillo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jim Coventry |
|---|---|
| Address | 1616 S Kentucky St, Amarillo, Texas |
| Phone Number | 8064637001 |
| Fax Number | 8064637006 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1447251988 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1616 S Kentucky St |
|---|---|
| City | Amarillo |
| State | Texas (TX) |
| Post Code | 791022250 |
| Phone Number | 8064637001 |
| Fax Number | 8064637006 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 4489 |
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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 |
|---|---|---|---|
| 00S26P | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jim Coventry by the Centers for Medicare & Medicaid Services?
The Jim Coventry has been issued the NPI (National Provider Identifier) 1447251988, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jim Coventry's facilities are geographically located?
The facilities of Jim Coventry are physically situated at the following location: 1616 S Kentucky St, Amarillo, TX, 791022250.
What is Jim Coventry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jim Coventry is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.
On what date did Jim Coventry receive its 1447251988 assignment from the Centers for Medicare & Medicaid Services?
The Jim Coventry was assigned its 1447251988 on 2005-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jim Coventry's details last updated?
The information pertaining to the Jim Coventry, including its address, specialty, and other details, was most recently updated on 2007-07-08.