Marylou Mylant in Hermosa - Psychiatric/mental Health, Child & Family
Marylou Mylant - NPI 1700065208
Marylou Mylant is a Psychiatric/mental Health, Child & Family in Hermosa, South Dakota. Marylou Mylant practices all healthcare services and medical treatments related to Psychiatric/mental Health, Child & Family. The NPI Number for Marylou Mylant is 1700065208. The last update date is 2007-10-31.
Marylou Mylant's current location address is 13716 Ghost Canyon Rd, Hermosa, South Dakota. You can contact this provider via phone number 6053946617 and fax number 6053941250. The mailing address for Marylou Mylant is 13716 Ghost Canyon Rd, Hermosa, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marylou Mylant |
|---|---|
| Address | 13716 Ghost Canyon Rd, Hermosa, South Dakota |
| Phone Number | 6053946617 |
| Fax Number | 6053941250 |
| Sole Proprietor | Y |
| Credentials | PHD, RN, P |
NPI Number Detail
| NPI Number | 1700065208 |
|---|---|
| Provider Enumeration Date | 2007-10-31 |
| Last Updated Date | 2007-10-31 |
Provider Mailing Address Detail
| Address | 13716 Ghost Canyon Rd |
|---|---|
| City | Hermosa |
| State | South Dakota (SD) |
| Post Code | 577445020 |
| Phone Number | 6053946617 |
| Fax Number | 6053941250 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Child & Family |
|---|---|
| Taxonomy | 364Sp0810X |
| Licence No | R025102 |
|
Definition: A psychiatric clinical nurse specialist expert in caring for children and their families. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6575492 | SD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marylou Mylant by the Centers for Medicare & Medicaid Services?
The Marylou Mylant has been assigned the NPI (National Provider Identifier) 1700065208. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Marylou Mylant's facilities are geographically located?
The facilities of Marylou Mylant are physically situated at the following location: 13716 Ghost Canyon Rd, Hermosa, SD, 577445020.
What is the area of specialization for Marylou Mylant, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marylou Mylant is Psychiatric/mental Health, Child & Family, and the corresponding taxonomy code that categorizes this area of expertise is 364Sp0810X.
On what date did Marylou Mylant receive its 1700065208 assignment from the Centers for Medicare & Medicaid Services?
The Marylou Mylant was assigned its 1700065208 on 2007-10-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Marylou Mylant most recently updated or refreshed?
The details pertaining to the Marylou Mylant, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-31.
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