CECILIA MAE SKIDMORE M.A. L.P.C. NPI 1760533632

NPI Information

NPI: 1760533632
Provider Name: CECILIA MAE SKIDMORE, M.A., L.P.C.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1514 WEALTHY ST SE
SUITE 260
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 451-3008
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Cecilia Mae Skidmore, M.A., L.P.C. is a mental health counselor in Grand Rapids, MI. Cecilia Mae Skidmore, M.A., L.P.C. NPI is 1760533632. 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:

1514 WEALTHY ST SE
SUITE 260
GRAND RAPIDS, MI
ZIP 49506-755
Phone: (616) 451-3008

The enumeration date for this NPI number is 1/16/2007 and was last updated on 7/8/2007.

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	6401001787	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6401001767	OTHER	MICHIGAN	COUNSELOR LICENSE

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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