Celestine Ford in Milwaukee - Addiction (substance Use Disorder)
Celestine Ford - NPI 1912176173
Celestine Ford is a Addiction (substance Use Disorder) in Milwaukee, Wisconsin. Celestine Ford practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Celestine Ford is 1912176173. The last update date is 2008-02-21.
Celestine Ford's current location address is 1212 S 70th St Ste 115a, Milwaukee, Wisconsin. You can contact this provider via phone number 4149021500 and fax number 4149021515. The mailing address for Celestine Ford is 1212 S 70th St Ste 115a, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Celestine Ford |
|---|---|
| Address | 1212 S 70th St Ste 115a, Milwaukee, Wisconsin |
| Phone Number | 4149021500 |
| Fax Number | 4149021515 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1912176173 |
|---|---|
| Provider Enumeration Date | 2008-02-21 |
| Last Updated Date | 2008-02-21 |
Provider Mailing Address Detail
| Address | 1212 S 70th St Ste 115a |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532143105 |
| Phone Number | 4149021500 |
| Fax Number | 4149021515 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 12717-131 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39591800 | WI | -- | |
| 12717-131 | WI | SAC | |
| 3259-123 | WI | LCSW |
Post Comment/ Review Below
What is the Celestine Ford's 1912176173?
The Celestine Ford's NPI (National Provider Identifier) Number is 1912176173. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Celestine Ford's facilities are geographically located?
The facilities of Celestine Ford are physically situated at the following location: 1212 S 70Th St Ste 115A, Milwaukee, WI, 532143105.
What is the Celestine Ford's area of specialization and corresponding taxonomy classification?
The Celestine Ford's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
When was the Celestine Ford's 1912176173 issued?
The Celestine Ford's 1912176173 was issued on 2008-02-21.
When was the Celestine Ford's information last updated?
The Celestine Ford's information was last updated on 2008-02-21.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA