Tausha Bradshaw Elliott in Odessa - Mental Health
Tausha Bradshaw Elliott - NPI 1871550731
Tausha Bradshaw Elliott is a Mental Health in Odessa, Texas. Tausha Bradshaw Elliott practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Tausha Bradshaw Elliott is 1871550731. The last update date is 2007-12-05.
Tausha Bradshaw Elliott's current location address is 6010 E Hwy 191, Odessa, Texas. You can contact this provider via phone number 4325520230 and fax number 4325520333. The mailing address for Tausha Bradshaw Elliott is 6010 E Hwy 191, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tausha Bradshaw Elliott |
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Address | 6010 E Hwy 191, Odessa, Texas |
Phone Number | 4325520230 |
Fax Number | 4325520333 |
Sole Proprietor | Y |
Credentials | LPC |
NPI Number Detail
NPI Number | 1871550731 |
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Provider Enumeration Date | 2006-04-26 |
Last Updated Date | 2007-12-05 |
Provider Mailing Address Detail
Address | 6010 E Hwy 191 |
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City | Odessa |
State | Texas (TX) |
Post Code | 797625070 |
Phone Number | 4325520230 |
Fax Number | 4325520333 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | 10811 |
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 |
---|---|---|---|
3704LC | TX | BLUECROSSBLUESHIELD | |
10811 | TX | LICENSED PROF. COUNSELOR |
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What is the unique provider identifier assigned to Tausha Bradshaw Elliott?
The Tausha Bradshaw Elliott has been issued the NPI (National Provider Identifier) 1871550731 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Tausha Bradshaw Elliott?
The Tausha Bradshaw Elliott is situated at 6010 E Hwy 191, in the city of Odessa, state of TX, with the zip code 797625070.
What is the area of specialization for Tausha Bradshaw Elliott, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tausha Bradshaw Elliott is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871550731 to Tausha Bradshaw Elliott?
The Centers for Medicare & Medicaid Services originally issued the 1871550731 to Tausha Bradshaw Elliott on 2006-04-26.
As of what date were the details related to Tausha Bradshaw Elliott most recently updated or revised?
The information pertaining to Tausha Bradshaw Elliott, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-05.
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