QUADIEDRA AMOS


Address: 3675 Fallstaff Dr, Fayetteville, NC 28306-9079
Phone: 9107783819

QUADIEDRA AMOS (NPI# 1023628278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023628278
Entity Type Individual
Full Name QUADIEDRA AMOS
Credential NCC, LCMHC-A
Practice Address 3675 Fallstaff Dr
Fayetteville
NC 28306-9079
Mailing Address Po Box 64276
Fayetteville
NC 28306-0276
Practice Telephone 9107783819
Mailing Telephone 9107783819
Enumeration Date 2020-08-03
Last Update Date 2020-08-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
A15615 NC Behavioral Health & Social Service Providers

Office Location

Street Address 3675 FALLSTAFF DR
City FAYETTEVILLE
State NC
Zip Code 28306-9079

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1245708213 Catherine H Cox Speech-Language Pathologist Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 2018-11-08
1720446776 Wal-mart Store East, Lp Technician/Technologist 2820 Gillespie St., Fayetteville, NC 28306 2016-02-05
1720460017 Sridhar Gottipati Pharmacist 10072 Southern Ave., Fayetteville, NC 28306 2015-06-23
1942687900 St Marys Hca of South Carolina Clinic/Center 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 2015-04-29
1649696204 Kathryn Dries Nurse Practitioner 7496 Rockfish Road, Fayetteville, NC 28306 2014-03-06
1508288218 Teresa Mcneill Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3608 Pickerel St, Fayetteville, NC 28306 2014-01-15
1740535715 Harris Teeter, LLC Pharmacy 3050 Traemoor Village Dr, Fayetteville, NC 28306 2012-07-17
1184928848 Hanora Medical Center, Pllc Internal Medicine 2620 Owen Dr, Fayetteville, NC 28306 2011-01-10
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619583432 Don Del-raye Jones Counselor 521 Rempstone Ln, Fayetteville, NC 28311-5501 2020-09-17
1699385963 William Jones Counselor 4250 Clinton Rd Ste 102, Fayetteville, NC 28312-8517 2020-08-03
1952919573 Bianca Thomas Counselor 2713 Lake Club Dr, Fayetteville, NC 28304-5349 2020-07-20
1962029546 Deanna Dale Dunn Counselor 767 W North St Ste 112, Fayetteville, AR 72701-1865 2020-06-30
1053937490 Balance Ground Counseling LLC Counselor 240 Lofty Eagle Ln, Fayetteville, GA 30214-3531 2020-06-22
1659994010 Martanika Michelle Smith Counselor 351 Wagoner Dr Ste 105, Fayetteville, NC 28303-4608 2020-05-20
1477188985 Qiana Tamieka Gatling Counselor 4417 Briton Cir, Fayetteville, NC 28314-2401 2020-03-04
1467086496 The Pair Center for Couples Counseling Pllc Counselor 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 2020-02-28
1194359182 Meredith Leigh Kimbrough Counselor 31 E Center St Ste 210, Fayetteville, AR 72701-5391 2020-02-27
1487291340 Bonni Behrend Counselor 1394 N Tradition Ave, Fayetteville, AR 72704-5562 2019-12-10
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Competitor

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City FAYETTEVILLE
Zip Code 28306

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Dataset Information

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.

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