Renee Garcia Wyden in Jacksonville - Counselor
Renee Garcia Wyden - NPI 1164416889
Renee Garcia Wyden is a Counselor in Jacksonville, Florida. Renee Garcia Wyden practices all healthcare services and medical treatments related to Counselor. The NPI Number for Renee Garcia Wyden is 1164416889. The last update date is 2011-04-06.
Renee Garcia Wyden's current location address is 2950 Halcyon Ln, Jacksonville, Florida. You can contact this provider via phone number 9046387042. The mailing address for Renee Garcia Wyden is 2950 Halcyon Ln, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renee Garcia Wyden |
|---|---|
| Address | 2950 Halcyon Ln, Jacksonville, Florida |
| Phone Number | 9046387042 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1164416889 |
|---|---|
| Provider Enumeration Date | 2005-09-08 |
| Last Updated Date | 2011-04-06 |
Provider Mailing Address Detail
| Address | 2950 Halcyon Ln |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322236689 |
| Phone Number | 9046387042 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | SW6557 |
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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 unique identification code assigned to Renee Garcia Wyden by the Centers for Medicare & Medicaid Services?
The Renee Garcia Wyden has been issued the NPI (National Provider Identifier) 1164416889. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Renee Garcia Wyden's physical address?
The Renee Garcia Wyden is physically located at 2950 Halcyon Ln, in the city of Jacksonville, FL, with the postal code 322236689.
What is Renee Garcia Wyden's specialized field of practice, and what is the corresponding taxonomy classification code?
The Renee Garcia Wyden's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164416889 to Renee Garcia Wyden?
The Centers for Medicare & Medicaid Services originally issued the 1164416889 to Renee Garcia Wyden on 2005-09-08.
When was the Renee Garcia Wyden's information last updated?
The Renee Garcia Wyden's information was last updated on 2011-04-06.