Elliott Eugene Connie in Fort Worth - Counselor
Elliott Eugene Connie - NPI 1568503506
Elliott Eugene Connie is a Counselor in Fort Worth, Texas. Elliott Eugene Connie practices all healthcare services and medical treatments related to Counselor. The NPI Number for Elliott Eugene Connie is 1568503506. The last update date is 2008-07-10.
Elliott Eugene Connie's current location address is 1400 S Main St, Fort Worth, Texas. You can contact this provider via phone number 8178701080 and fax number 8178701085. The mailing address for Elliott Eugene Connie is 1400 S Main St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elliott Eugene Connie |
|---|---|
| Address | 1400 S Main St, Fort Worth, Texas |
| Phone Number | 8178701080 |
| Fax Number | 8178701085 |
| Sole Proprietor | N |
| Credentials | LPC-I |
NPI Number Detail
| NPI Number | 1568503506 |
|---|---|
| Provider Enumeration Date | 2007-02-11 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 1400 S Main St |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761044909 |
| Phone Number | 8178701080 |
| Fax Number | 8178701085 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 62681 |
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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 10-digit identifier code issued to Elliott Eugene Connie by the Centers for Medicare & Medicaid Services?
The Elliott Eugene Connie has been assigned the NPI (National Provider Identifier) 1568503506 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Elliott Eugene Connie's facilities are geographically located?
The facilities of Elliott Eugene Connie are physically situated at the following location: 1400 S Main St, Fort Worth, TX, 761044909.
What is Elliott Eugene Connie's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elliott Eugene Connie's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.
On what date did the Elliott Eugene Connie receive the assignment of its 1568503506 from the Centers for Medicare & Medicaid Services?
The Elliott Eugene Connie was issued its 1568503506 by the Centers for Medicare & Medicaid Services on 2007-02-11.
When was the information regarding Elliott Eugene Connie most recently updated?
The details pertaining to the Elliott Eugene Connie, including its address, specialty, and other relevant information, were last refreshed on 2008-07-10.
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