Lacy Middlebroo Camp in Athens - Counselor
Lacy Middlebroo Camp - NPI 1982810867
Lacy Middlebroo Camp is a Counselor in Athens, Georgia. Lacy Middlebroo Camp practices all healthcare services and medical treatments related to Counselor. The NPI Number for Lacy Middlebroo Camp is 1982810867. The last update date is 2008-10-07.
Lacy Middlebroo Camp's current location address is 455 N Lumpkin St, Athens, Georgia. You can contact this provider via phone number 7063697911 and fax number 7062089509. The mailing address for Lacy Middlebroo Camp is 455 N Lumpkin St, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lacy Middlebroo Camp |
|---|---|
| Address | 455 N Lumpkin St, Athens, Georgia |
| Phone Number | 7063697911 |
| Fax Number | 7062089509 |
| Sole Proprietor | N |
| Credentials | M. ED. |
NPI Number Detail
| NPI Number | 1982810867 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2008-10-07 |
Provider Mailing Address Detail
| Address | 455 N Lumpkin St |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306012744 |
| Phone Number | 7063697911 |
| Fax Number | 7062089509 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 967 |
|
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 |
|
Post Comment/ Review Below
What is the Lacy Middlebroo Camp's 1982810867?
The Lacy Middlebroo Camp's NPI (National Provider Identifier) Number is 1982810867. 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 Lacy Middlebroo Camp is located?
The Lacy Middlebroo Camp is situated at the following address: 455 N Lumpkin St, Athens, GA, 306012744.
What is the Lacy Middlebroo Camp's area of specialization and corresponding taxonomy classification?
The Lacy Middlebroo Camp's specialty field is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their specialties.
On what date did the Lacy Middlebroo Camp receive the assignment of its 1982810867 from the Centers for Medicare & Medicaid Services?
The Lacy Middlebroo Camp was issued its 1982810867 by the Centers for Medicare & Medicaid Services on 2007-05-15.
When was the information regarding Lacy Middlebroo Camp, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lacy Middlebroo Camp, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-10-07.