Bryan Mitchell Elliott in San Angelo - Marriage & Family Therapist
Bryan Mitchell Elliott - NPI 1033126644
Bryan Mitchell Elliott is a Marriage & Family Therapist in San Angelo, Texas. Bryan Mitchell Elliott practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Bryan Mitchell Elliott is 1033126644. The last update date is 2007-07-08.
Bryan Mitchell Elliott's current location address is 2200 Johnson Ave, San Angelo, Texas. You can contact this provider via phone number 3259493701 and fax number 3259473585. The mailing address for Bryan Mitchell Elliott is 2200 Johnson Ave, San Angelo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Mitchell Elliott |
|---|---|
| Address | 2200 Johnson Ave, San Angelo, Texas |
| Phone Number | 3259493701 |
| Fax Number | 3259473585 |
| Sole Proprietor | Y |
| Credentials | LPC, LMFT |
NPI Number Detail
| NPI Number | 1033126644 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2200 Johnson Ave |
|---|---|
| City | San Angelo |
| State | Texas (TX) |
| Post Code | 769045441 |
| Phone Number | 3259493701 |
| Fax Number | 3259473585 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 004794-04197 |
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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 |
|---|---|---|---|
| 3619LC | TX | BLUE CROSS BLUE SHIELD |
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What is the unique identifier code issued to Bryan Mitchell Elliott by the Centers for Medicare & Medicaid Services?
The Bryan Mitchell Elliott has been assigned the NPI (National Provider Identifier) 1033126644. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Bryan Mitchell Elliott's facilities are geographically located?
The facilities of Bryan Mitchell Elliott are physically situated at the following location: 2200 Johnson Ave, San Angelo, TX, 769045441.
What is the Bryan Mitchell Elliott's specialty and taxonomy code?
The Bryan Mitchell Elliott's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
When did the Bryan Mitchell Elliott receive its 1033126644?
The Bryan Mitchell Elliott was issued its 1033126644 on 2006-08-03, which is the date when the organization was assigned this unique identifier.
When was the information regarding Bryan Mitchell Elliott most recently updated?
The details pertaining to the Bryan Mitchell Elliott, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN