Individualized Counseling Plc in Roanoke - Clinical
Individualized Counseling Plc - NPI 1174605745
Individualized Counseling Plc is a Clinical in Roanoke, Virginia. Individualized Counseling Plc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Individualized Counseling Plc is 1174605745. The last update date is 2011-03-17.
Individualized Counseling Plc's current location address is 3536 Brambleton Ave, Roanoke, Virginia. You can contact this provider via phone number 5407766466. The mailing address for Individualized Counseling Plc is 3536 Brambleton Ave, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Individualized Counseling Plc |
|---|---|
| Address | 3536 Brambleton Ave, Roanoke, Virginia |
| Phone Number | 5407766466 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Misco Gail Teresa |
| Credentials | LCSW |
| Telephone Number | 5407766466 |
NPI Number Detail
| NPI Number | 1174605745 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2011-03-17 |
Provider Mailing Address Detail
| Address | 3536 Brambleton Ave |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240186526 |
| Phone Number | 5407766466 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904005798 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10089247 | VA | -- | |
| 145295 | VA | ANTHEM |
Post Comment/ Review Below
What is the Individualized Counseling Plc's 1174605745?
The Individualized Counseling Plc's NPI (National Provider Identifier) Number is 1174605745. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Individualized Counseling Plc's facilities are geographically located?
The facilities of Individualized Counseling Plc are physically situated at the following location: 3536 Brambleton Ave, Roanoke, VA, 240186526.
What is the Individualized Counseling Plc's area of specialization and corresponding taxonomy classification?
The Individualized Counseling Plc's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174605745 to Individualized Counseling Plc?
The Centers for Medicare & Medicaid Services originally issued the 1174605745 to Individualized Counseling Plc on 2006-10-20.
As of what date were the details pertaining to Individualized Counseling Plc last refreshed?
The information related to the Individualized Counseling Plc, including its address, specialty, and other relevant details, was last updated on 2011-03-17.