Timothy John Enevoldsen in Amarillo - Marriage & Family Therapist
Timothy John Enevoldsen - NPI 1851404206
Timothy John Enevoldsen is a Marriage & Family Therapist in Amarillo, Texas. Timothy John Enevoldsen practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Timothy John Enevoldsen is 1851404206. The last update date is 2008-06-17.
Timothy John Enevoldsen's current location address is Po Box 50291, Amarillo, Texas. You can contact this provider via phone number 8065703775 and fax number 8063568189. The mailing address for Timothy John Enevoldsen is Po Box 50291, Amarillo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy John Enevoldsen |
|---|---|
| Address | Po Box 50291, Amarillo, Texas |
| Phone Number | 8065703775 |
| Fax Number | 8063568189 |
| Sole Proprietor | Y |
| Credentials | M.ED., LPC |
NPI Number Detail
| NPI Number | 1851404206 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | Po Box 50291 |
|---|---|
| City | Amarillo |
| State | Texas (TX) |
| Post Code | 791590291 |
| Phone Number | 8065703775 |
| Fax Number | 8063568189 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 003822-04215 |
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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 |
|---|---|---|---|
| 95362201 | TX | -- |
Post Comment/ Review Below
What is the Timothy John Enevoldsen's 1851404206?
The Timothy John Enevoldsen's NPI (National Provider Identifier) Number is 1851404206. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Timothy John Enevoldsen is physically located?
The Timothy John Enevoldsen is physically situated at the following address: Po Box 50291, Amarillo, TX, 791590291.
What is the Timothy John Enevoldsen's specialty and taxonomy code?
The Timothy John Enevoldsen's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851404206 to Timothy John Enevoldsen?
The Timothy John Enevoldsen received its 1851404206 assignment from the Centers for Medicare & Medicaid Services on 2006-08-17.
As of what date were the Timothy John Enevoldsen's details last updated?
The information pertaining to the Timothy John Enevoldsen, including its address, specialty, and other details, was most recently updated on 2008-06-17.