HUMBOLDT FAMILY SERVICE CENTER NPI 1215248000

NPI Information

NPI: 1215248000
Provider Name: HUMBOLDT FAMILY SERVICE CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 05D0666113

Address:
801 CRESCENT WAY STE 3
ARCATA, CA
ZIP 95521
Phone: (707) 496-7351
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HUMBOLDT FAMILY SERVICE CENTER is a mental health counselor in Arcata, CA. HUMBOLDT FAMILY SERVICE CENTER NPI is 1215248000. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

801 CRESCENT WAY STE 3
ARCATA, CA
ZIP 95521-781
Phone: (707) 496-7351

The provider's authorized official is Paula Ann Nedelcoff .
The authorized official title is Director and has the following contact phone number (707) 443-7358.

The CLIA number assigned to this NPI record is 05D0666113 - public health laboratory with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/25/2010 and was last updated on 6/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	30069	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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