Thelma Jean Carpenter-Ellis in Bloomington - Professional
Thelma Jean Carpenter-Ellis - NPI 1053527093
Thelma Jean Carpenter-Ellis is a Professional in Bloomington, Illinois. Thelma Jean Carpenter-Ellis practices all healthcare services and medical treatments related to Professional. The NPI Number for Thelma Jean Carpenter-Ellis is 1053527093. The last update date is 2007-07-08.
Thelma Jean Carpenter-Ellis's current location address is 16116 Inverrary Lane, Bloomington, Illinois. You can contact this provider via phone number 3096625816. The mailing address for Thelma Jean Carpenter-Ellis is 16116 Inverrary Lane, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thelma Jean Carpenter-Ellis |
|---|---|
| Address | 16116 Inverrary Lane, Bloomington, Illinois |
| Phone Number | 3096625816 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.C.P.C. |
NPI Number Detail
| NPI Number | 1053527093 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16116 Inverrary Lane |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 61704 |
| Phone Number | 3096625816 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5732111 | IL | LCPC |
Post Comment/ Review Below
What is the unique identification code assigned to Thelma Jean Carpenter-Ellis by the Centers for Medicare & Medicaid Services?
The Thelma Jean Carpenter-Ellis has been issued the NPI (National Provider Identifier) 1053527093. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Thelma Jean Carpenter-Ellis is physically located?
The Thelma Jean Carpenter-Ellis is physically situated at the following address: 16116 Inverrary Lane, Bloomington, IL, 61704.
What is Thelma Jean Carpenter-Ellis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thelma Jean Carpenter-Ellis's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date was the 1053527093 assigned to Thelma Jean Carpenter-Ellis?
The Thelma Jean Carpenter-Ellis was issued its 1053527093 on 2007-05-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Thelma Jean Carpenter-Ellis most recently updated?
The details pertaining to the Thelma Jean Carpenter-Ellis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.