Therapeutic Collaborative in Wilder - Adult Mental Health
Therapeutic Collaborative - NPI 1629123443
Therapeutic Collaborative is a Adult Mental Health in Wilder, Kentucky. Therapeutic Collaborative practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Therapeutic Collaborative is 1629123443. The last update date is 2011-06-17.
Therapeutic Collaborative's current location address is 519 Licking Pike, Wilder, Kentucky. You can contact this provider via phone number 8595720400 and fax number 8594423363. The mailing address for Therapeutic Collaborative is 519 Licking Pike, Wilder, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Therapeutic Collaborative |
|---|---|
| Address | 519 Licking Pike, Wilder, Kentucky |
| Phone Number | 8595720400 |
| Fax Number | 8594423363 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Peppers Ellen Virginia |
| Credentials | ARNP BC |
| Telephone Number | 8595720400 |
NPI Number Detail
| NPI Number | 1629123443 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2011-06-17 |
Provider Mailing Address Detail
| Address | 519 Licking Pike |
|---|---|
| City | Wilder |
| State | Kentucky (KY) |
| Post Code | 41071 |
| Phone Number | 8595720400 |
| Fax Number | 8594423363 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 65928897 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Therapeutic Collaborative by the Centers for Medicare & Medicaid Services (CMS)?
The Therapeutic Collaborative has been assigned the NPI (National Provider Identifier) 1629123443. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Therapeutic Collaborative is physically located?
The Therapeutic Collaborative is physically situated at the following address: 519 Licking Pike, Wilder, KY, 41071.
What is Therapeutic Collaborative's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Therapeutic Collaborative's specialized field of practice is Adult Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm0850X.
When did Therapeutic Collaborative receive its 1629123443 assignment?
The Therapeutic Collaborative was assigned its 1629123443 on 2007-01-24, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Therapeutic Collaborative most recently updated or revised?
The information pertaining to Therapeutic Collaborative, including its address, specialty, and other relevant details, was last updated or revised on 2011-06-17.
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