Carolyn Lucille Consoli in Corvallis - Peer Specialist
Carolyn Lucille Consoli - NPI 1063605095
Carolyn Lucille Consoli is a Peer Specialist in Corvallis, Oregon. Carolyn Lucille Consoli practices all healthcare services and medical treatments related to Peer Specialist. The NPI Number for Carolyn Lucille Consoli is 1063605095. The last update date is 2018-03-17.
Carolyn Lucille Consoli's current location address is 530 Nw 27th St, Corvallis, Oregon. You can contact this provider via phone number 5417666835 and fax number 5417666186. The mailing address for Carolyn Lucille Consoli is 530 Nw 27th St, Corvallis, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Lucille Consoli |
|---|---|
| Address | 530 Nw 27th St, Corvallis, Oregon |
| Phone Number | 5417666835 |
| Fax Number | 5417666186 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063605095 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 530 Nw 27th St |
|---|---|
| City | Corvallis |
| State | Oregon (OR) |
| Post Code | 973305223 |
| Phone Number | 5417666835 |
| Fax Number | 5417666186 |
Provider's Primary Taxonomy Detail
| Speciality | Peer Specialist |
|---|---|
| Taxonomy | 175T00000X |
| Licence No | THW0001880 |
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Definition: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500732717 | OR | -- | |
| 500700084 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Carolyn Lucille Consoli by the Centers for Medicare & Medicaid Services (CMS)?
The Carolyn Lucille Consoli has been assigned the NPI (National Provider Identifier) 1063605095. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Carolyn Lucille Consoli is geographically located?
The Carolyn Lucille Consoli is physically situated at the following location: 530 Nw 27Th St, Corvallis, OR, 973305223.
What is the Carolyn Lucille Consoli's specialty and taxonomy code?
The Carolyn Lucille Consoli's specialty is Peer Specialist, and the corresponding taxonomy code is 175T00000X.
On what date did Carolyn Lucille Consoli receive its 1063605095 assignment from the Centers for Medicare & Medicaid Services?
The Carolyn Lucille Consoli was assigned its 1063605095 on 2007-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Carolyn Lucille Consoli most recently updated?
The details pertaining to the Carolyn Lucille Consoli, including its address, specialty, and other relevant information, were last refreshed on 2018-03-17.