Mellisa Gail Douglas in Fishersville - Professional

Mellisa Gail Douglas - NPI 1720194681

Mellisa Gail Douglas is a Professional in Fishersville, Virginia. Mellisa Gail Douglas practices all healthcare services and medical treatments related to Professional. The NPI Number for Mellisa Gail Douglas is 1720194681. The last update date is 2013-12-02.

Mellisa Gail Douglas's current location address is 71 Wilson Blvd Ste A1, Fishersville, Virginia. You can contact this provider via phone number 5409494202 and fax number 5408867380. The mailing address for Mellisa Gail Douglas is 71 Wilson Blvd Ste A1, Fishersville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mellisa Gail Douglas
Address 71 Wilson Blvd Ste A1, Fishersville, Virginia
Phone Number 5409494202
Fax Number 5408867380
Sole Proprietor N
Credentials M.ED,LPC

NPI Number Detail

NPI Number 1720194681
Provider Enumeration Date 2006-08-22
Last Updated Date 2013-12-02

Provider Mailing Address Detail

Address 71 Wilson Blvd Ste A1
City Fishersville
State Virginia (VA)
Post Code 229392283
Phone Number 5409494202
Fax Number 5408867380

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 17005
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
162090801 TX --

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FAQs about Mellisa Gail Douglas

What is the unique 10-digit identification code assigned to Mellisa Gail Douglas by the Centers for Medicare & Medicaid Services?

The Mellisa Gail Douglas has been issued the NPI (National Provider Identifier) 1720194681, 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 Mellisa Gail Douglas?

The Mellisa Gail Douglas is situated at 71 Wilson Blvd Ste A1, in the city of Fishersville, state of VA, with the zip code 229392283.

What is Mellisa Gail Douglas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mellisa Gail Douglas is Professional, and the taxonomy code that categorizes this field of expertise is 101Yp2500X.

On what date did Mellisa Gail Douglas receive its 1720194681 assignment from the Centers for Medicare & Medicaid Services?

The Mellisa Gail Douglas was assigned its 1720194681 on 2006-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Mellisa Gail Douglas most recently updated or revised?

The information pertaining to Mellisa Gail Douglas, including its address, specialty, and other relevant details, was last updated or revised on 2013-12-02.

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