Marcia Domecq is a Mental Health in Superior, Wisconsin. Marcia Domecq practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Marcia Domecq is 1649445669. The last update date is 2015-12-02.
Marcia Domecq's current location address is 3500 Tower Ave, Superior, Wisconsin. You can contact this provider via phone number 7158177100. The mailing address for Marcia Domecq is 3500 Tower Ave, Superior, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcia Domecq |
|---|---|
| Address | 3500 Tower Ave, Superior, Wisconsin |
| Phone Number | 7158177100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1649445669 |
|---|---|
| Provider Enumeration Date | 2008-04-30 |
| Last Updated Date | 2015-12-02 |
Provider Mailing Address Detail
| Address | 3500 Tower Ave |
|---|---|
| City | Superior |
| State | Wisconsin (WI) |
| Post Code | 548804491 |
| Phone Number | 7158177100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 3965-123 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identifier code issued to Marcia Domecq by the Centers for Medicare & Medicaid Services (CMS)?
The Marcia Domecq has been assigned the NPI (National Provider Identifier) 1649445669. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Marcia Domecq is geographically located?
The Marcia Domecq is physically situated at the following location: 3500 Tower Ave, Superior, WI, 548804491.
What is the area of specialization for Marcia Domecq, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marcia Domecq 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 assign the 1649445669 to Marcia Domecq?
The Centers for Medicare & Medicaid Services assigned the 1649445669 to Marcia Domecq on 2008-04-30.
As of what date was the information regarding Marcia Domecq, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marcia Domecq, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-12-02.