Susan Liles Wisneski in Dallas - Professional
Susan Liles Wisneski - NPI 1134159908
Susan Liles Wisneski is a Professional in Dallas, Texas. Susan Liles Wisneski practices all healthcare services and medical treatments related to Professional. The NPI Number for Susan Liles Wisneski is 1134159908. The last update date is 2007-07-08.
Susan Liles Wisneski's current location address is 4054 Mckinney Ave Ste 102, Dallas, Texas. You can contact this provider via phone number 2145206308. The mailing address for Susan Liles Wisneski is 4054 Mckinney Ave Ste 102, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Liles Wisneski |
|---|---|
| Address | 4054 Mckinney Ave Ste 102, Dallas, Texas |
| Phone Number | 2145206308 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1134159908 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4054 Mckinney Ave Ste 102 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752042050 |
| Phone Number | 2145206308 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LPC 15264 |
|
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 |
|---|---|---|---|
| 84066L | BC/BS | ||
| 9370750 | PHCS |
Post Comment/ Review Below
What is the Susan Liles Wisneski's 1134159908?
The Susan Liles Wisneski's NPI (National Provider Identifier) Number is 1134159908. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susan Liles Wisneski is located?
The Susan Liles Wisneski is situated at the following address: 4054 Mckinney Ave Ste 102, Dallas, TX, 752042050.
What is the Susan Liles Wisneski's area of specialization and corresponding taxonomy classification?
The Susan Liles Wisneski's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1134159908 to Susan Liles Wisneski?
The Centers for Medicare & Medicaid Services assigned the 1134159908 to Susan Liles Wisneski on 2006-07-04.
When was the information pertaining to Susan Liles Wisneski most recently updated or revised?
The details related to Susan Liles Wisneski, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.