Composed Life Services, Pllc in Durham - Clinical
Composed Life Services, Pllc - NPI 1518114503
Composed Life Services, Pllc is a Clinical in Durham, North Carolina. Composed Life Services, Pllc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Composed Life Services, Pllc is 1518114503. The last update date is 2008-08-21.
Composed Life Services, Pllc's current location address is 810 Iredell St, Durham, North Carolina. You can contact this provider via phone number 9192863060 and fax number 9194163711. The mailing address for Composed Life Services, Pllc is 810 Iredell St, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Composed Life Services, Pllc |
|---|---|
| Address | 810 Iredell St, Durham, North Carolina |
| Phone Number | 9192863060 |
| Fax Number | 9194163711 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Place Read Marian |
| Credentials | L.C.S.W. |
| Telephone Number | 9192863060 |
NPI Number Detail
| NPI Number | 1518114503 |
|---|---|
| Provider Enumeration Date | 2008-08-21 |
| Last Updated Date | 2008-08-21 |
Provider Mailing Address Detail
| Address | 810 Iredell St |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277054120 |
| Phone Number | 9192863060 |
| Fax Number | 9194163711 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C002804 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1649314105 | NC | NPI FOR MARIAN R. PLACE, LCSW |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Composed Life Services, Pllc by the Centers for Medicare & Medicaid Services?
The Composed Life Services, Pllc has been issued the NPI (National Provider Identifier) 1518114503 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Composed Life Services, Pllc is physically located?
The Composed Life Services, Pllc is situated at the following address: 810 Iredell St, Durham, NC 277054120.
What is Composed Life Services, Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Composed Life Services, Pllc is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Composed Life Services, Pllc receive the assignment of its 1518114503 from the Centers for Medicare & Medicaid Services?
The Composed Life Services, Pllc was issued its 1518114503 by the Centers for Medicare & Medicaid Services on 2008-08-21.
When was the information pertaining to Composed Life Services, Pllc most recently updated or revised?
The details related to Composed Life Services, Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-21.
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