Susan Elaine in Mountain Home - Marriage & Family Therapist
Susan Elaine - NPI 1295801512
Susan Elaine is a Marriage & Family Therapist in Mountain Home, Tennessee. Susan Elaine practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Susan Elaine is 1295801512. The last update date is 2010-11-02.
Susan Elaine's current location address is Po Box 699, Mountain Home, Tennessee. You can contact this provider via phone number 4234398000 and fax number 4234392200. The mailing address for Susan Elaine is Po Box 699, Mountain Home, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Elaine |
|---|---|
| Address | Po Box 699, Mountain Home, Tennessee |
| Phone Number | 4234398000 |
| Fax Number | 4234392200 |
| Sole Proprietor | N |
| Credentials | M.ED., L.M |
NPI Number Detail
| NPI Number | 1295801512 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2010-11-02 |
Provider Mailing Address Detail
| Address | Po Box 699 |
|---|---|
| City | Mountain Home |
| State | Tennessee (TN) |
| Post Code | 376840699 |
| Phone Number | 4234398000 |
| Fax Number | 4234392200 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 176 |
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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 |
|---|---|---|---|
| 176 | TN | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Susan Elaine by the Centers for Medicare & Medicaid Services?
The Susan Elaine has been assigned the NPI (National Provider Identifier) 1295801512 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Susan Elaine is physically located?
The Susan Elaine is physically situated at the following address: Po Box 699, Mountain Home, TN, 376840699.
What is Susan Elaine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan Elaine is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1295801512 to Susan Elaine?
The Centers for Medicare & Medicaid Services assigned the 1295801512 to Susan Elaine on 2006-11-28.
When was the information regarding Susan Elaine, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susan Elaine, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-11-02.