VENKAT TALASILA NPI 1942468459

NPI Information

NPI: 1942468459
Provider Name: VENKAT TALASILA
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
200 S WENONA ST
STE G29
BAY CITY, MI
ZIP 48706
Phone: (989) 893-3212
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VENKAT TALASILA is a mental health counselor in Bay City, MI. VENKAT TALASILA NPI is 1942468459. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 S WENONA ST
STE G29
BAY CITY, MI
ZIP 48706-820
Phone: (989) 893-3212
Fax: (989) 893-0461

The provider's authorized official is Venkat Talasila .
The authorized official title is Psychiatrist and has the following contact phone number (989) 893-3212.

The enumeration date for this NPI number is 5/30/2008 and was last updated on 5/30/2008.

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	4301407245	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	103117160	MEDICAID	MICHIGAN
2	0M08820	MEDICARE PIN	MICHIGAN
3	2600731330	OTHER	MICHIGAN	BC

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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