Mickey Wilson in Newport Beach - Marriage & Family Therapist
Mickey Wilson - NPI 1669557641
Mickey Wilson is a Marriage & Family Therapist in Newport Beach, California. Mickey Wilson practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Mickey Wilson is 1669557641. The last update date is 2021-08-16.
Mickey Wilson's current location address is 4000 Macarthur Blvd., East Tower, 6th Floor, Newport Beach, California. You can contact this provider via phone number 7147435612. The mailing address for Mickey Wilson is 4000 Macarthur Blvd., East Tower, 6th Floor, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mickey Wilson |
|---|---|
| Address | 4000 Macarthur Blvd., East Tower, 6th Floor, Newport Beach, California |
| Phone Number | 7147435612 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D., LMF |
NPI Number Detail
| NPI Number | 1669557641 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2021-08-16 |
Provider Mailing Address Detail
| Address | 4000 Macarthur Blvd., East Tower, 6th Floor |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926602543 |
| Phone Number | 7147435612 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 49203 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 49203 | CA | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mickey Wilson by the Centers for Medicare & Medicaid Services?
The Mickey Wilson has been issued the NPI (National Provider Identifier) 1669557641, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mickey Wilson?
The Mickey Wilson is situated at 4000 Macarthur Blvd., East Tower, 6Th Floor, in the city of Newport Beach, state of CA, with the zip code 926602543.
What is Mickey Wilson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mickey Wilson is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
On what date did Mickey Wilson receive its 1669557641 assignment from the Centers for Medicare & Medicaid Services?
The Mickey Wilson was assigned its 1669557641 on 2006-10-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mickey Wilson's details last updated?
The information pertaining to the Mickey Wilson, including its address, specialty, and other details, was most recently updated on 2021-08-16.