Shana Jean Conover in Tyler - Mental Health
Shana Jean Conover - NPI 1235200072
Shana Jean Conover is a Mental Health in Tyler, Texas. Shana Jean Conover practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Shana Jean Conover is 1235200072. The last update date is 2012-04-20.
Shana Jean Conover's current location address is 1810 Shiloh Rd, Tyler, Texas. You can contact this provider via phone number 9035309085. The mailing address for Shana Jean Conover is 1810 Shiloh Rd, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shana Jean Conover |
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Address | 1810 Shiloh Rd, Tyler, Texas |
Phone Number | 9035309085 |
Fax Number | |
Sole Proprietor | Y |
Credentials | L.P.C. |
NPI Number Detail
NPI Number | 1235200072 |
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Provider Enumeration Date | 2006-11-13 |
Last Updated Date | 2012-04-20 |
Provider Mailing Address Detail
Address | 1810 Shiloh Rd |
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City | Tyler |
State | Texas (TX) |
Post Code | 757032419 |
Phone Number | 9035309085 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | 18503 |
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 |
---|---|---|---|
2022519-02 | TX | -- | |
10822112 | TX | TAX ID | |
2022519-01 | TX | -- |
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What is the unique 10-digit identifier code assigned to Shana Jean Conover by the Centers for Medicare & Medicaid Services?
The Shana Jean Conover has been issued the NPI (National Provider Identifier) 1235200072 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Shana Jean Conover is physically located?
The Shana Jean Conover is situated at the following address: 1810 Shiloh Rd, Tyler, TX 757032419.
What is Shana Jean Conover's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shana Jean Conover is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
When did Shana Jean Conover receive its 1235200072 assignment?
The Shana Jean Conover was assigned its 1235200072 on 2006-11-13, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Shana Jean Conover, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shana Jean Conover, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-04-20.
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