MR. KEITH DERRICK HAITH (NPI# 1023450210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023450210 |
| Entity Type | Individual |
| Full Name | MR. KEITH DERRICK HAITH |
| Practice Address |
1159 Huffman Mill Rd Burlington NC 27215 |
| Mailing Address |
1159 Huffman Mill Rd Burlington NC 27215-8862 |
| Practice Telephone | 3365386990 |
| Practice Fax Number | 3365386991 |
| Mailing Telephone | 3365386990 |
| Mailing Fax Number | 3365386991 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NC | Behavioral Health & Social Service Providers |
| Street Address |
1159 HUFFMAN MILL RD |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831386465 | Sarah Lynn Thielman Alexander | Social Worker | 1159 Huffman Mill Rd, Burlington, NC 27215-8862 | 2007-09-27 |
| 1821540303 | Anesthesia Services Associates | Durable Medical Equipment & Medical Supplies | 1159 Huffman Mill Rd, Burlington, NC 27215-8862 | 2016-10-31 |
| 1871928804 | Dasha Herbin | Counselor | 1159 Huffman Mill Rd, Burlington, NC 27215-8862 | 2013-09-10 |
| 1942635974 | Carol Wilson | Counselor | 1159 Huffman Mill Rd, Burlington, NC 27215-8862 | 2013-09-10 |
| 1649605676 | Nadine Bryant | Counselor | 1159 Huffman Mill Rd, Burlington, NC 27215-8862 | 2013-09-10 |
| 1841632460 | Mark Long | Counselor | 1159 Huffman Mill Rd, Burlington, NC 27215-8862 | 2013-07-24 |
| 1235571969 | Valerie Thompson Enoch | Counselor | 1159 Huffman Mill Rd, Burlington, NC 27215-8862 | 2013-07-23 |
| 1972945681 | Pauletta Cates | Counselor | 1159 Huffman Mill Rd, Burlington, NC 27215-8862 | 2013-07-23 |
| 1760824650 | Michael Keith Talley | Social Worker | 1159 Huffman Mill Rd, Burlington, NC 27215-8862 | 2013-07-22 |
| 1568804383 | Jashella R Sessoms | Social Worker | 1159 Huffman Mill Rd, Burlington, NC 27215-8862 | 2013-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950984 | Keith Edward Smith | Counselor | 288 Flynn Ave Apt 26, Burlington, VT 05401-5370 | 2020-07-29 |
| 1528677325 | Gavin B Chadwell | Counselor | 337 College St Ste G, Burlington, VT 05401-8344 | 2020-07-28 |
| 1407473549 | Christine Borzumato-gainey | Counselor | 3643 Liberty Dr, Burlington, NC 27215-9387 | 2020-07-05 |
| 1669096434 | Callie Douglass | Counselor | 337 College St, Burlington, VT 05401-8344 | 2020-06-08 |
| 1144870742 | Amy Cronin | Counselor | 20 Oak St Apt 2, Burlington, VT 05401-2828 | 2019-09-16 |
| 1760948251 | Path Integrated Healthcare | Counselor | 125 College St Ste 300, Burlington, VT 05401-8444 | 2019-02-20 |
| 1255800082 | William Hayes Davenport | Counselor | 269 Pearl St Ste 4, Burlington, VT 05401-8536 | 2018-11-22 |
| 1821574443 | Dana Rochelle Hays | Counselor | 6272 Woodcrest Dr, Burlington, KY 41005-8444 | 2018-07-17 |
| 1265937650 | Jennifer L Kerns | Counselor | 269 Pearl St Ste 3, Burlington, VT 05401-8536 | 2018-03-27 |
| 1205335130 | Lynn Ruth Martin | Counselor | 130 Mansfield Ave Apt 201, Burlington, VT 05401-3396 | 2018-02-06 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
Please comment or provide details below to improve the information on MR. KEITH DERRICK HAITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.