Theodore Edwin Walls in Brattleboro - Mental Health
Theodore Edwin Walls - NPI 1881714798
Theodore Edwin Walls is a Mental Health in Brattleboro, Vermont. Theodore Edwin Walls practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Theodore Edwin Walls is 1881714798. The last update date is 2022-06-18.
Theodore Edwin Walls's current location address is 54 Harris Pl Ste 105, Brattleboro, Vermont. You can contact this provider via phone number 8024510314 and fax number 8775320268. The mailing address for Theodore Edwin Walls is 54 Harris Pl Ste 105, Brattleboro, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Edwin Walls |
|---|---|
| Address | 54 Harris Pl Ste 105, Brattleboro, Vermont |
| Phone Number | 8024510314 |
| Fax Number | 8775320268 |
| Sole Proprietor | Y |
| Credentials | M.A., LMHC |
NPI Number Detail
| NPI Number | 1881714798 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2022-06-18 |
Provider Mailing Address Detail
| Address | 54 Harris Pl Ste 105 |
|---|---|
| City | Brattleboro |
| State | Vermont (VT) |
| Post Code | 53016709 |
| Phone Number | 8024510314 |
| Fax Number | 8775320268 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 8227 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identifier code assigned to Theodore Edwin Walls by the Centers for Medicare & Medicaid Services?
The Theodore Edwin Walls has been issued the NPI (National Provider Identifier) 1881714798 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Theodore Edwin Walls is physically located?
The Theodore Edwin Walls is physically situated at the following address: 54 Harris Pl Ste 105, Brattleboro, VT, 53016709.
What is Theodore Edwin Walls's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theodore Edwin Walls's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Theodore Edwin Walls receive the assignment of its 1881714798 from the Centers for Medicare & Medicaid Services?
The Theodore Edwin Walls was issued its 1881714798 by the Centers for Medicare & Medicaid Services on 2007-04-02.
As of what date were the details related to Theodore Edwin Walls most recently updated or revised?
The information pertaining to Theodore Edwin Walls, including its address, specialty, and other relevant details, was last updated or revised on 2022-06-18.
NPI Number: 1902809924
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