MRS. ELLEN MARIE WIRTZ LISW NPI 1235199282

NPI Information

NPI: 1235199282
Provider Name: MRS. ELLEN MARIE WIRTZ, LISW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
BEHAVIORAL HEALTH FLIGHT
BLDG 69, 35 MEDICAL GROUP
MISAWA, JAPAN
ZIP 96319
Phone: 2263230
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MRS. Ellen Marie Wirtz, LISW is a mental health counselor in Misawa, JAPAN. MRS. Ellen Marie Wirtz, LISW NPI is 1235199282. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

BEHAVIORAL HEALTH FLIGHT
BLDG 69, 35 MEDICAL GROUP
MISAWA, JAPAN
ZIP 96319
Phone: 2263230
Fax: 2262124

The NPI 1235199282 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 7/21/2022.

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	0000I7777	OHIO	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: 4/28/2024

NPI Synchronization or Removal

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