West Side Family Mental Health Clinic, P.C. in South Haven - Clinical
West Side Family Mental Health Clinic, P.C. - NPI 1194918466
West Side Family Mental Health Clinic, P.C. is a Clinical in South Haven, Michigan. West Side Family Mental Health Clinic, P.C. practices all healthcare services and medical treatments related to Clinical. The NPI Number for West Side Family Mental Health Clinic, P.C. is 1194918466. The last update date is 2007-09-06.
West Side Family Mental Health Clinic, P.C.'s current location address is 352 Blue Star Hwy, South Haven, Michigan. You can contact this provider via phone number 2696371170 and fax number 2696391312. The mailing address for West Side Family Mental Health Clinic, P.C. is 352 Blue Star Hwy, South Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Side Family Mental Health Clinic, P.C. |
|---|---|
| Address | 352 Blue Star Hwy, South Haven, Michigan |
| Phone Number | 2696371170 |
| Fax Number | 2696391312 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Di Loreto O. Adolph |
| Credentials | PH.D. |
| Telephone Number | 2696371170 |
NPI Number Detail
| NPI Number | 1194918466 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2007-09-06 |
Provider Mailing Address Detail
| Address | 352 Blue Star Hwy |
|---|---|
| City | South Haven |
| State | Michigan (MI) |
| Post Code | 490907102 |
| Phone Number | 2696371170 |
| Fax Number | 2696391312 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 822 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to West Side Family Mental Health Clinic, P.C. by the Centers for Medicare & Medicaid Services?
The West Side Family Mental Health Clinic, P.C. has been assigned the NPI (National Provider Identifier) 1194918466 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where West Side Family Mental Health Clinic, P.C.'s facilities are geographically located?
The facilities of West Side Family Mental Health Clinic, P.C. are physically situated at the following location: 352 Blue Star Hwy, South Haven, MI, 490907102.
What is West Side Family Mental Health Clinic, P.C.'s area of expertise and its corresponding taxonomy classification?
The West Side Family Mental Health Clinic, P.C.'s field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did West Side Family Mental Health Clinic, P.C. receive its 1194918466 assignment from the Centers for Medicare & Medicaid Services?
The West Side Family Mental Health Clinic, P.C. was assigned its 1194918466 on 2007-08-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the West Side Family Mental Health Clinic, P.C.'s details last updated?
The information pertaining to the West Side Family Mental Health Clinic, P.C., including its address, specialty, and other details, was most recently updated on 2007-09-06.
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