Mystic Michelle Thompson in North Little Rock - Psychiatric/mental Health

Mystic Michelle Thompson - NPI 1851568315

Mystic Michelle Thompson is a Psychiatric/mental Health in North Little Rock, Arkansas. Mystic Michelle Thompson practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Mystic Michelle Thompson is 1851568315. The last update date is 2008-05-14.

Mystic Michelle Thompson's current location address is 3223 E Broadway St, North Little Rock, Arkansas. You can contact this provider via phone number 5019455544 and fax number 5019455546. The mailing address for Mystic Michelle Thompson is 3223 E Broadway St, North Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mystic Michelle Thompson
Address 3223 E Broadway St, North Little Rock, Arkansas
Phone Number 5019455544
Fax Number 5019455546
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1851568315
Provider Enumeration Date 2008-05-14
Last Updated Date 2008-05-14

Provider Mailing Address Detail

Address 3223 E Broadway St
City North Little Rock
State Arkansas (AR)
Post Code 721146344
Phone Number 5019455544
Fax Number 5019455546

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 163Wp0808X
Licence No R67979
Definition:
A registered nurse who cares for patients with mental health disorders and conditions.

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FAQs about Mystic Michelle Thompson

What is the unique identifier code issued to Mystic Michelle Thompson by the Centers for Medicare & Medicaid Services (CMS)?

The Mystic Michelle Thompson has been assigned the NPI (National Provider Identifier) 1851568315. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Mystic Michelle Thompson located?

The Mystic Michelle Thompson is located at 3223 E Broadway St, North Little Rock, AR 721146344.

What is the area of specialization for Mystic Michelle Thompson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mystic Michelle Thompson is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 163Wp0808X.

On what date did the Centers for Medicare & Medicaid Services issue the 1851568315 to Mystic Michelle Thompson?

The Mystic Michelle Thompson received its 1851568315 assignment from the Centers for Medicare & Medicaid Services on 2008-05-14.

When was the information related to Mystic Michelle Thompson most recently updated or refreshed?

The details pertaining to the Mystic Michelle Thompson, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-14.

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