Carol Irene Gardner in Amarillo - Professional

Carol Irene Gardner - NPI 1841279452

Carol Irene Gardner is a Professional in Amarillo, Texas. Carol Irene Gardner practices all healthcare services and medical treatments related to Professional. The NPI Number for Carol Irene Gardner is 1841279452. The last update date is 2007-09-06.

Carol Irene Gardner's current location address is 1711 S Polk St, Amarillo, Texas. You can contact this provider via phone number 8063540727 and fax number 8063540011. The mailing address for Carol Irene Gardner is 1711 S Polk St, Amarillo, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol Irene Gardner
Address 1711 S Polk St, Amarillo, Texas
Phone Number 8063540727
Fax Number 8063540011
Sole Proprietor N
Credentials LPC

NPI Number Detail

NPI Number 1841279452
Provider Enumeration Date 2006-01-11
Last Updated Date 2007-09-06

Provider Mailing Address Detail

Address 1711 S Polk St
City Amarillo
State Texas (TX)
Post Code 791023152
Phone Number 8063540727
Fax Number 8063540011

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 13496
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0956039-03 TX TPMHMR MEDICAID LEGACY
0956039-02 TX --
3230LC TX BLUE CROSS/BLUE SHIELD

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FAQs about Carol Irene Gardner

What is the unique 10-digit identification code assigned to Carol Irene Gardner by the Centers for Medicare & Medicaid Services?

The Carol Irene Gardner has been issued the NPI (National Provider Identifier) 1841279452, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Carol Irene Gardner?

The Carol Irene Gardner is situated at 1711 S Polk St, in the city of Amarillo, state of TX, with the zip code 791023152.

What is Carol Irene Gardner's specialized field of practice, and what is the corresponding taxonomy classification code?

The Carol Irene Gardner's area of specialization is Professional, and the corresponding taxonomy code that categorizes this field of practice is 101Yp2500X.

On what date did the Carol Irene Gardner receive the assignment of its 1841279452 from the Centers for Medicare & Medicaid Services?

The Carol Irene Gardner was issued its 1841279452 by the Centers for Medicare & Medicaid Services on 2006-01-11.

When was the information regarding Carol Irene Gardner most recently updated?

The details pertaining to the Carol Irene Gardner, including its address, specialty, and other relevant information, were last refreshed on 2007-09-06.

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