Stacy Gorman is a Professional in Minneapolis, Minnesota. Stacy Gorman practices all healthcare services and medical treatments related to Professional. The NPI Number for Stacy Gorman is 1114119179. The last update date is 2010-03-05.
Stacy Gorman's current location address is Po Box 9191, Minneapolis, Minnesota. You can contact this provider via phone number 6053226428 and fax number 6053226499. The mailing address for Stacy Gorman is Po Box 9191, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Gorman |
|---|---|
| Address | Po Box 9191, Minneapolis, Minnesota |
| Phone Number | 6053226428 |
| Fax Number | 6053226499 |
| Sole Proprietor | N |
| Credentials | MS, LPC-MH |
NPI Number Detail
| NPI Number | 1114119179 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2010-03-05 |
Provider Mailing Address Detail
| Address | Po Box 9191 |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554809191 |
| Phone Number | 6053226428 |
| Fax Number | 6053226499 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LPC-MH2172 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6576790 | SD | -- | |
| 9287682 | DAKOTACARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stacy Gorman by the Centers for Medicare & Medicaid Services?
The Stacy Gorman has been assigned the NPI (National Provider Identifier) 1114119179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Stacy Gorman's facilities are geographically located?
The facilities of Stacy Gorman are physically situated at the following location: Po Box 9191, Minneapolis, MN, 554809191.
What is the area of specialization for Stacy Gorman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacy Gorman is Professional, and the corresponding taxonomy code that categorizes this area of expertise is 101Yp2500X.
When did Stacy Gorman receive its 1114119179 assignment?
The Stacy Gorman was assigned its 1114119179 on 2007-08-14, which is the date when this unique identifier was issued to the organization.
When was the Stacy Gorman's information last updated?
The Stacy Gorman's information was last updated on 2010-03-05.