Pavel Malm is a Mental Health in Newport, Vermont. Pavel Malm practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Pavel Malm is 1154425296. The last update date is 2021-05-18.
Pavel Malm's current location address is Po Box 622, Newport, Vermont. You can contact this provider via phone number 8026736998. The mailing address for Pavel Malm is Po Box 622, Newport, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pavel Malm |
|---|---|
| Address | Po Box 622, Newport, Vermont |
| Phone Number | 8026736998 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCMHC |
NPI Number Detail
| NPI Number | 1154425296 |
|---|---|
| Provider Enumeration Date | 2006-09-11 |
| Last Updated Date | 2021-05-18 |
Provider Mailing Address Detail
| Address | Po Box 622 |
|---|---|
| City | Newport |
| State | Vermont (VT) |
| Post Code | 58550622 |
| Phone Number | 8026736998 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 680000594 |
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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 |
|---|---|---|---|
| 59161 | VT | BCBS | |
| 1009126 | VT | -- |
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What is the unique identifier code issued to Pavel Malm by the Centers for Medicare & Medicaid Services?
The Pavel Malm has been assigned the NPI (National Provider Identifier) 1154425296. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pavel Malm located?
The Pavel Malm is located at Po Box 622, Newport, VT 58550622.
What is the area of specialization for Pavel Malm, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pavel Malm is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Pavel Malm receive its 1154425296 assignment from the Centers for Medicare & Medicaid Services?
The Pavel Malm was assigned its 1154425296 by the Centers for Medicare & Medicaid Services on 2006-09-11.
When was the Pavel Malm's information last updated?
The Pavel Malm's information was last updated on 2021-05-18.