Allisha Gayle Skin Bonneaux in Orange - Mental Health
Allisha Gayle Skin Bonneaux - NPI 1063528966
Allisha Gayle Skin Bonneaux is a Mental Health in Orange, Texas. Allisha Gayle Skin Bonneaux practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Allisha Gayle Skin Bonneaux is 1063528966. The last update date is 2020-06-08.
Allisha Gayle Skin Bonneaux's current location address is 7700 Fm 1130, Orange, Texas. You can contact this provider via phone number 4099884221. The mailing address for Allisha Gayle Skin Bonneaux is 7700 Fm 1130, Orange, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Allisha Gayle Skin Bonneaux |
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Address | 7700 Fm 1130, Orange, Texas |
Phone Number | 4099884221 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MED,LPC |
NPI Number Detail
NPI Number | 1063528966 |
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Provider Enumeration Date | 2006-08-22 |
Last Updated Date | 2020-06-08 |
Provider Mailing Address Detail
Address | 7700 Fm 1130 |
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City | Orange |
State | Texas (TX) |
Post Code | 776323740 |
Phone Number | 4099884221 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | 14019 |
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 |
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168911901 | TX | -- |
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What is the Allisha Gayle Skin Bonneaux's unique identification number?
The Allisha Gayle Skin Bonneaux has been assigned the NPI (National Provider Identifier) Number 1063528966 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Allisha Gayle Skin Bonneaux is physically located?
The Allisha Gayle Skin Bonneaux is physically situated at the following address: 7700 Fm 1130, Orange, TX, 776323740.
What is Allisha Gayle Skin Bonneaux's specialized field of practice, and what is the corresponding taxonomy classification code?
The Allisha Gayle Skin Bonneaux'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 Allisha Gayle Skin Bonneaux receive its 1063528966 assignment from the Centers for Medicare & Medicaid Services?
The Allisha Gayle Skin Bonneaux was assigned its 1063528966 by the Centers for Medicare & Medicaid Services on 2006-08-22.
As of what date were the Allisha Gayle Skin Bonneaux's details last updated?
The information pertaining to the Allisha Gayle Skin Bonneaux, including its address, specialty, and other details, was most recently updated on 2020-06-08.