Pebbles M King in Gautier - Addiction (substance Use Disorder)
Pebbles M King - NPI 1619067345
Pebbles M King is a Addiction (substance Use Disorder) in Gautier, Mississippi. Pebbles M King practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Pebbles M King is 1619067345. The last update date is 2007-07-08.
Pebbles M King's current location address is 3407 Shamrock Court, Gautier, Mississippi. You can contact this provider via phone number 2284970690 and fax number 2284971363. The mailing address for Pebbles M King is 3407 Shamrock Court, Gautier, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pebbles M King |
|---|---|
| Address | 3407 Shamrock Court, Gautier, Mississippi |
| Phone Number | 2284970690 |
| Fax Number | 2284971363 |
| Sole Proprietor | N |
| Credentials | BS |
NPI Number Detail
| NPI Number | 1619067345 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3407 Shamrock Court |
|---|---|
| City | Gautier |
| State | Mississippi (MS) |
| Post Code | 39553 |
| Phone Number | 2284970690 |
| Fax Number | 2284971363 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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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 |
|---|---|---|---|
| 18214 | MS | -- |
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What is the unique 10-digit identifier code issued to Pebbles M King by the Centers for Medicare & Medicaid Services?
The Pebbles M King has been assigned the NPI (National Provider Identifier) 1619067345 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Pebbles M King's physical address?
The Pebbles M King is physically located at 3407 Shamrock Court, in the city of Gautier, MS, with the postal code 39553.
What is Pebbles M King's area of expertise and its corresponding taxonomy classification?
The Pebbles M King's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Pebbles M King receive its 1619067345 assignment from the Centers for Medicare & Medicaid Services?
The Pebbles M King was assigned its 1619067345 on 2006-10-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Pebbles M King's information last updated?
The Pebbles M King's information was last updated on 2007-07-08.
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