Carolyn Ann Wallace in Portland - Mental Health
Carolyn Ann Wallace - NPI 1023141363
Carolyn Ann Wallace is a Mental Health in Portland, Maine. Carolyn Ann Wallace practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Carolyn Ann Wallace is 1023141363. The last update date is 2009-01-27.
Carolyn Ann Wallace's current location address is 25 Middle St, Portland, Maine. You can contact this provider via phone number 2076533999. The mailing address for Carolyn Ann Wallace is 25 Middle St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Ann Wallace |
|---|---|
| Address | 25 Middle St, Portland, Maine |
| Phone Number | 2076533999 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCPCC, CAD |
NPI Number Detail
| NPI Number | 1023141363 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2009-01-27 |
Provider Mailing Address Detail
| Address | 25 Middle St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41014869 |
| Phone Number | 2076533999 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | XL3204 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Carolyn Ann Wallace?
The Carolyn Ann Wallace has been issued the NPI (National Provider Identifier) 1023141363 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Carolyn Ann Wallace's facilities are situated?
The facilities of Carolyn Ann Wallace are physically located at the following address: 25 Middle St, Portland, ME, 41014869.
What is the area of specialization for Carolyn Ann Wallace, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Carolyn Ann Wallace is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did Carolyn Ann Wallace receive its 1023141363 assignment from the Centers for Medicare & Medicaid Services?
The Carolyn Ann Wallace was assigned its 1023141363 on 2007-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Carolyn Ann Wallace's information last updated?
The Carolyn Ann Wallace's information was last updated on 2009-01-27.
NPI Number: 1699778829
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