Sports/Education/Art (Sea) in Mobile - Clinical
Sports/Education/Art (Sea) - NPI 1265693402
Sports/Education/Art (Sea) is a Clinical in Mobile, Alabama. Sports/Education/Art (Sea) practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sports/Education/Art (Sea) is 1265693402. The last update date is 2014-08-19.
Sports/Education/Art (Sea)'s current location address is 101 Wimbledon Drive, Mobile, Alabama. You can contact this provider via phone number 2516441585. The mailing address for Sports/Education/Art (Sea) is 101 Wimbledon Drive, Mobile, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Sports/Education/Art (Sea) |
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Address | 101 Wimbledon Drive, Mobile, Alabama |
Phone Number | 2516441585 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT/ |
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Authorized Official Name | Brown Jean-Willi Doris |
Credentials | PHD |
Telephone Number | 2513482158 |
NPI Number Detail
NPI Number | 1265693402 |
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Provider Enumeration Date | 2008-06-20 |
Last Updated Date | 2014-08-19 |
Provider Mailing Address Detail
Address | 101 Wimbledon Drive |
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City | Mobile |
State | Alabama (AL) |
Post Code | 36608 |
Phone Number | 2516441585 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
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 |
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What is the unique identification code assigned to Sports/Education/Art (Sea) by the Centers for Medicare & Medicaid Services?
The Sports/Education/Art (Sea) has been issued the NPI (National Provider Identifier) 1265693402. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Sports/Education/Art (Sea)'s facilities are situated?
The facilities of Sports/Education/Art (Sea) are physically located at the following address: 101 Wimbledon Drive, Mobile, AL, 36608.
What is the area of specialization for Sports/Education/Art (Sea), and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sports/Education/Art (Sea) is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Sports/Education/Art (Sea) receive the assignment of its 1265693402 from the Centers for Medicare & Medicaid Services?
The Sports/Education/Art (Sea) was issued its 1265693402 by the Centers for Medicare & Medicaid Services on 2008-06-20.
As of what date was the information regarding Sports/Education/Art (Sea), such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sports/Education/Art (Sea), including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-08-19.