Samantha Denise Slagle in Bristol - Residential Treatment Facility, Emotionally Disturbed Children
Samantha Denise Slagle - NPI 1093835183
Samantha Denise Slagle is a Residential Treatment Facility, Emotionally Disturbed Children in Bristol, Tennessee. Samantha Denise Slagle practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Samantha Denise Slagle is 1093835183. The last update date is 2021-04-28.
Samantha Denise Slagle's current location address is 26 Midway St, Bristol, Tennessee. You can contact this provider via phone number 4239894500 and fax number 4239894582. The mailing address for Samantha Denise Slagle is 26 Midway St, Bristol, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Samantha Denise Slagle |
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Address | 26 Midway St, Bristol, Tennessee |
Phone Number | 4239894500 |
Fax Number | 4239894582 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1093835183 |
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Provider Enumeration Date | 2007-03-30 |
Last Updated Date | 2021-04-28 |
Provider Mailing Address Detail
Address | 26 Midway St |
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City | Bristol |
State | Tennessee (TN) |
Post Code | 376201706 |
Phone Number | 4239894500 |
Fax Number | 4239894582 |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
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Taxonomy | 322D00000X |
Licence No | 5290 |
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the Samantha Denise Slagle's unique identification number?
The Samantha Denise Slagle has been assigned the NPI (National Provider Identifier) Number 1093835183 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Samantha Denise Slagle is physically located?
The Samantha Denise Slagle is physically situated at the following address: 26 Midway St, Bristol, TN, 376201706.
What is the area of specialization for Samantha Denise Slagle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Samantha Denise Slagle is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of expertise is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093835183 to Samantha Denise Slagle?
The Centers for Medicare & Medicaid Services originally issued the 1093835183 to Samantha Denise Slagle on 2007-03-30.
When was the information pertaining to Samantha Denise Slagle most recently updated or revised?
The details related to Samantha Denise Slagle, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-28.
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