Mary Ann Dom in San Antonio - Addiction (substance Use Disorder)
Mary Ann Dom - NPI 1356507586
Mary Ann Dom is a Addiction (substance Use Disorder) in San Antonio, Texas. Mary Ann Dom practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mary Ann Dom is 1356507586. The last update date is 2019-07-25.
Mary Ann Dom's current location address is 8826 Thatch Dr, San Antonio, Texas. You can contact this provider via phone number 2104880384 and fax number 2108586657. The mailing address for Mary Ann Dom is 8826 Thatch Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ann Dom |
|---|---|
| Address | 8826 Thatch Dr, San Antonio, Texas |
| Phone Number | 2104880384 |
| Fax Number | 2108586657 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1356507586 |
|---|---|
| Provider Enumeration Date | 2008-08-07 |
| Last Updated Date | 2019-07-25 |
Provider Mailing Address Detail
| Address | 8826 Thatch Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782403714 |
| Phone Number | 2104880384 |
| Fax Number | 2108586657 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 12359 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identification code issued to Mary Ann Dom by the Centers for Medicare & Medicaid Services?
The Mary Ann Dom has been assigned the NPI (National Provider Identifier) 1356507586 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Mary Ann Dom's physical address?
The Mary Ann Dom is physically located at 8826 Thatch Dr, in the city of San Antonio, TX, with the postal code 782403714.
What is Mary Ann Dom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Ann Dom is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date was the 1356507586 assigned to Mary Ann Dom?
The Mary Ann Dom was issued its 1356507586 on 2008-08-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mary Ann Dom most recently updated or revised?
The details related to Mary Ann Dom, including its address, specialty, and other relevant information, were last updated or revised on 2019-07-25.