Tequila Lashaun Slocum in Huntsville - Counselor
Tequila Lashaun Slocum - NPI 1174724546
Tequila Lashaun Slocum is a Counselor in Huntsville, Alabama. Tequila Lashaun Slocum practices all healthcare services and medical treatments related to Counselor. The NPI Number for Tequila Lashaun Slocum is 1174724546. The last update date is 2007-07-08.
Tequila Lashaun Slocum's current location address is 4443 Millvale Dr Sw, Huntsville, Alabama. You can contact this provider via phone number 4047517809. The mailing address for Tequila Lashaun Slocum is 4443 Millvale Dr Sw, Huntsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tequila Lashaun Slocum |
|---|---|
| Address | 4443 Millvale Dr Sw, Huntsville, Alabama |
| Phone Number | 4047517809 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174724546 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4443 Millvale Dr Sw |
|---|---|
| City | Huntsville |
| State | Alabama (AL) |
| Post Code | 358055617 |
| Phone Number | 4047517809 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the Tequila Lashaun Slocum's 1174724546?
The Tequila Lashaun Slocum's NPI (National Provider Identifier) Number is 1174724546. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tequila Lashaun Slocum is physically located?
The Tequila Lashaun Slocum is physically situated at the following address: 4443 Millvale Dr Sw, Huntsville, AL, 358055617.
What is Tequila Lashaun Slocum's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tequila Lashaun Slocum is Counselor, and the corresponding taxonomy classification code for this specialized field is 101Y00000X.
On what date did Tequila Lashaun Slocum receive its 1174724546 assignment from the Centers for Medicare & Medicaid Services?
The Tequila Lashaun Slocum was assigned its 1174724546 on 2007-05-31, 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 Tequila Lashaun Slocum most recently updated or revised?
The information pertaining to Tequila Lashaun Slocum, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.