MR. YUSUF BISSALLA TIMOTHY COUNSELOR NPI 1447923412

NPI Information

NPI: 1447923412
Provider Name: MR. YUSUF BISSALLA TIMOTHY, COUNSELOR
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1485 M 139
BENTON HARBOR, MI
ZIP 49022
Phone: (269) 925-0585
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MR. Yusuf Bissalla Timothy, COUNSELOR is a mental health counselor in Benton Harbor, MI. MR. Yusuf Bissalla Timothy, COUNSELOR NPI is 1447923412. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1485 M 139
BENTON HARBOR, MI
ZIP 49022-711
Phone: (269) 925-0585
Fax: (269) 927-1326

The enumeration date for this NPI number is 7/27/2021 and was last updated on 7/20/2023.

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	4824450	MICHIGAN	No
2	101YM0800X	Counselor	Mental Health	6451017924	MICHIGAN	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: 5/5/2024

NPI Synchronization or Removal

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