Southpark Psychology Ltd in Moline - Counseling
Southpark Psychology Ltd - NPI 1558470419
Southpark Psychology Ltd is a Counseling in Moline, Illinois. Southpark Psychology Ltd practices all healthcare services and medical treatments related to Counseling. The NPI Number for Southpark Psychology Ltd is 1558470419. The last update date is 2018-01-26.
Southpark Psychology Ltd's current location address is 2100 52nd Ave, Moline, Illinois. You can contact this provider via phone number 3097972900 and fax number 3097972147. The mailing address for Southpark Psychology Ltd is 2100 52nd Ave, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southpark Psychology Ltd |
|---|---|
| Address | 2100 52nd Ave, Moline, Illinois |
| Phone Number | 3097972900 |
| Fax Number | 3097972147 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Vincent Carl |
| Credentials | LCPC |
| Telephone Number | 3097972900 |
NPI Number Detail
| NPI Number | 1558470419 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2018-01-26 |
Provider Mailing Address Detail
| Address | 2100 52nd Ave |
|---|---|
| City | Moline |
| State | Illinois (IL) |
| Post Code | 612656366 |
| Phone Number | 3097972900 |
| Fax Number | 3097972147 |
Provider's Primary Taxonomy Detail
| Speciality | Counseling |
|---|---|
| Taxonomy | 103Tc1900X |
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Definition: A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c |
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What is the Southpark Psychology Ltd's unique identification number?
The Southpark Psychology Ltd has been assigned the NPI (National Provider Identifier) Number 1558470419 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Southpark Psychology Ltd?
The Southpark Psychology Ltd is situated at 2100 52Nd Ave, in the city of Moline, state of IL, with the zip code 612656366.
What is Southpark Psychology Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Southpark Psychology Ltd's area of specialization is Counseling, and the corresponding taxonomy code that categorizes this field of practice is 103Tc1900X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558470419 to Southpark Psychology Ltd?
The Centers for Medicare & Medicaid Services assigned the 1558470419 to Southpark Psychology Ltd on 2006-08-30.
When was the information regarding Southpark Psychology Ltd most recently updated?
The details pertaining to the Southpark Psychology Ltd, including its address, specialty, and other relevant information, were last refreshed on 2018-01-26.
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