Connie Carman in Fort Wayne - Addiction (substance Use Disorder)
Connie Carman - NPI 1255479366
Connie Carman is a Addiction (substance Use Disorder) in Fort Wayne, Indiana. Connie Carman practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Connie Carman is 1255479366. The last update date is 2016-09-14.
Connie Carman's current location address is 2712 S Calhoun St, Fort Wayne, Indiana. You can contact this provider via phone number 2607444326 and fax number 2607440188. The mailing address for Connie Carman is 2712 S Calhoun St, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie Carman |
|---|---|
| Address | 2712 S Calhoun St, Fort Wayne, Indiana |
| Phone Number | 2607444326 |
| Fax Number | 2607440188 |
| Sole Proprietor | N |
| Credentials | LCSW, LCAC |
NPI Number Detail
| NPI Number | 1255479366 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2016-09-14 |
Provider Mailing Address Detail
| Address | 2712 S Calhoun St |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468071402 |
| Phone Number | 2607444326 |
| Fax Number | 2607440188 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 87000446A |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200090360A | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Connie Carman?
The Connie Carman has been issued the NPI (National Provider Identifier) 1255479366 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Connie Carman's physical address?
The Connie Carman is physically located at 2712 S Calhoun St, in the city of Fort Wayne, IN, with the postal code 468071402.
What is the Connie Carman's specialty and taxonomy code?
The Connie Carman's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255479366 to Connie Carman?
The Connie Carman received its 1255479366 assignment from the Centers for Medicare & Medicaid Services on 2007-02-01.
When was the information pertaining to Connie Carman most recently updated or revised?
The details related to Connie Carman, including its address, specialty, and other relevant information, were last updated or revised on 2016-09-14.