Cornelia Ellis Green in Beloit - Counseling
Cornelia Ellis Green - NPI 1023162468
Cornelia Ellis Green is a Counseling in Beloit, Wisconsin. Cornelia Ellis Green practices all healthcare services and medical treatments related to Counseling. The NPI Number for Cornelia Ellis Green is 1023162468. The last update date is 2007-07-08.
Cornelia Ellis Green's current location address is 419 Pleasant St, Beloit, Wisconsin. You can contact this provider via phone number 6083657078 and fax number 6083657464. The mailing address for Cornelia Ellis Green is 419 Pleasant St, Beloit, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cornelia Ellis Green |
|---|---|
| Address | 419 Pleasant St, Beloit, Wisconsin |
| Phone Number | 6083657078 |
| Fax Number | 6083657464 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1023162468 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 419 Pleasant St |
|---|---|
| City | Beloit |
| State | Wisconsin (WI) |
| Post Code | 535116249 |
| Phone Number | 6083657078 |
| Fax Number | 6083657464 |
Provider's Primary Taxonomy Detail
| Speciality | Counseling |
|---|---|
| Taxonomy | 103Tc1900X |
| Licence No | 951-057 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39027300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Cornelia Ellis Green by the Centers for Medicare & Medicaid Services?
The Cornelia Ellis Green has been assigned the NPI (National Provider Identifier) 1023162468 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Cornelia Ellis Green?
The Cornelia Ellis Green is situated at 419 Pleasant St, in the city of Beloit, state of WI, with the zip code 535116249.
What is Cornelia Ellis Green's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Cornelia Ellis Green is Counseling, and the corresponding taxonomy classification code for this specialized field is 103Tc1900X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023162468 to Cornelia Ellis Green?
The Centers for Medicare & Medicaid Services assigned the 1023162468 to Cornelia Ellis Green on 2007-01-23.
When was the information regarding Cornelia Ellis Green most recently updated?
The details pertaining to the Cornelia Ellis Green, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.