Teresa Gonzalez in Winslow - Respite Care, Mental Illness, Child
Teresa Gonzalez - NPI 1619099793
Teresa Gonzalez is a Respite Care, Mental Illness, Child in Winslow, Arizona. Teresa Gonzalez practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Teresa Gonzalez is 1619099793. The last update date is 2015-06-24.
Teresa Gonzalez's current location address is 125 Papago Blvd, Winslow, Arizona. You can contact this provider via phone number 9283860450. The mailing address for Teresa Gonzalez is 125 Papago Blvd, Winslow, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa Gonzalez |
|---|---|
| Address | 125 Papago Blvd, Winslow, Arizona |
| Phone Number | 9283860450 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1619099793 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2015-06-24 |
Provider Mailing Address Detail
| Address | 125 Papago Blvd |
|---|---|
| City | Winslow |
| State | Arizona (AZ) |
| Post Code | 860472021 |
| Phone Number | 9283860450 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Respite Care, Mental Illness, Child |
|---|---|
| Taxonomy | 385Hr2055X |
| Licence No | 6867477 |
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Definition: A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
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What is the unique 10-digit identification code assigned to Teresa Gonzalez by the Centers for Medicare & Medicaid Services?
The Teresa Gonzalez has been issued the NPI (National Provider Identifier) 1619099793, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Teresa Gonzalez located?
The Teresa Gonzalez is located at 125 Papago Blvd, Winslow, AZ 860472021.
What is the area of specialization for Teresa Gonzalez, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Teresa Gonzalez is Respite Care, Mental Illness, Child, and the corresponding taxonomy code that categorizes this area of expertise is 385Hr2055X.
On what date did the Teresa Gonzalez receive the assignment of its 1619099793 from the Centers for Medicare & Medicaid Services?
The Teresa Gonzalez was issued its 1619099793 by the Centers for Medicare & Medicaid Services on 2007-04-06.
When was the information regarding Teresa Gonzalez most recently updated?
The details pertaining to the Teresa Gonzalez, including its address, specialty, and other relevant information, were last refreshed on 2015-06-24.
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