Suzanne Ellis Mikkelson in Fayetteville - Marriage & Family Therapist
Suzanne Ellis Mikkelson - NPI 1578740924
Suzanne Ellis Mikkelson is a Marriage & Family Therapist in Fayetteville, North Carolina. Suzanne Ellis Mikkelson practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Suzanne Ellis Mikkelson is 1578740924. The last update date is 2008-01-29.
Suzanne Ellis Mikkelson's current location address is 114 Highland Ave, Fayetteville, North Carolina. You can contact this provider via phone number 9104840176 and fax number 9104845781. The mailing address for Suzanne Ellis Mikkelson is 114 Highland Ave, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne Ellis Mikkelson |
|---|---|
| Address | 114 Highland Ave, Fayetteville, North Carolina |
| Phone Number | 9104840176 |
| Fax Number | 9104845781 |
| Sole Proprietor | N |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1578740924 |
|---|---|
| Provider Enumeration Date | 2008-01-29 |
| Last Updated Date | 2008-01-29 |
Provider Mailing Address Detail
| Address | 114 Highland Ave |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283055306 |
| Phone Number | 9104840176 |
| Fax Number | 9104845781 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 904 |
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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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What is the unique 10-digit identifier code issued to Suzanne Ellis Mikkelson by the Centers for Medicare & Medicaid Services?
The Suzanne Ellis Mikkelson has been assigned the NPI (National Provider Identifier) 1578740924 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Suzanne Ellis Mikkelson located?
The Suzanne Ellis Mikkelson is located at 114 Highland Ave, Fayetteville, NC 283055306.
What is Suzanne Ellis Mikkelson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Suzanne Ellis Mikkelson's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Suzanne Ellis Mikkelson receive the assignment of its 1578740924 from the Centers for Medicare & Medicaid Services?
The Suzanne Ellis Mikkelson was issued its 1578740924 by the Centers for Medicare & Medicaid Services on 2008-01-29.
When was the information pertaining to Suzanne Ellis Mikkelson most recently updated or revised?
The details related to Suzanne Ellis Mikkelson, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-29.