Angela Christina Brock in Louisville - Marriage & Family Therapist
Angela Christina Brock - NPI 1073734927
Angela Christina Brock is a Marriage & Family Therapist in Louisville, Kentucky. Angela Christina Brock practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Angela Christina Brock is 1073734927. The last update date is 2020-12-01.
Angela Christina Brock's current location address is 10300 Brookridge Village Blvd, Louisville, Kentucky. You can contact this provider via phone number 5027854322 and fax number 5027854433. The mailing address for Angela Christina Brock is 10300 Brookridge Village Blvd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Christina Brock |
|---|---|
| Address | 10300 Brookridge Village Blvd, Louisville, Kentucky |
| Phone Number | 5027854322 |
| Fax Number | 5027854433 |
| Sole Proprietor | N |
| Credentials | LCSW, LMFT |
NPI Number Detail
| NPI Number | 1073734927 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2020-12-01 |
Provider Mailing Address Detail
| Address | 10300 Brookridge Village Blvd |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 40291 |
| Phone Number | 5027854322 |
| Fax Number | 5027854433 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | KY-0617 |
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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 |
|---|---|---|---|
| 7100068240 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Angela Christina Brock by the Centers for Medicare & Medicaid Services?
The Angela Christina Brock has been issued the NPI (National Provider Identifier) 1073734927, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Angela Christina Brock is physically located?
The Angela Christina Brock is physically situated at the following address: 10300 Brookridge Village Blvd, Louisville, KY, 40291.
What is the Angela Christina Brock's area of specialization and corresponding taxonomy classification?
The Angela Christina Brock's specialty field is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their specialties.
On what date did the Angela Christina Brock receive its 1073734927 assignment from the Centers for Medicare & Medicaid Services?
The Angela Christina Brock was assigned its 1073734927 by the Centers for Medicare & Medicaid Services on 2007-05-01.
As of what date were the details pertaining to Angela Christina Brock last refreshed?
The information related to the Angela Christina Brock, including its address, specialty, and other relevant details, was last updated on 2020-12-01.