KELLY MOULTRIE (NPI# 1033531900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033531900 |
Entity Type | Individual |
Full Name | KELLY MOULTRIE |
Practice Address |
1850 Pineview Dr Columbia SC 29209-5085 |
Mailing Address |
2715 Colonial Dr Columbia SC 29203-6818 |
Practice Telephone | 8037830303 |
Practice Fax Number | 8037830955 |
Mailing Telephone | 8037830303 |
Mailing Fax Number | 8037830955 |
Enumeration Date | 2014-01-13 |
Last Update Date | 2014-01-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
Street Address |
1850 PINEVIEW DR |
City | COLUMBIA |
State | SC |
Zip Code | 29209-5085 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497846281 | Aunra Hudley | Counselor | 1850 Pineview Dr, Columbia, SC 29209-5085 | 2006-09-27 |
1609392893 | Letressa Antoinette Flemming | Registered Nurse | 1850 Pineview Dr, Columbia, SC 29209-5085 | 2017-08-18 |
1366968950 | Cynthia Ellen Mallard | Registered Nurse | 1850 Pineview Dr, Columbia, SC 29209-5085 | 2017-08-16 |
1649713025 | Valerie Perry-wilkes | Registered Nurse | 1850 Pineview Dr, Columbia, SC 29209-5085 | 2016-12-02 |
1972958007 | Steven James Ramey | Counselor | 1850 Pineview Dr, Columbia, SC 29209-5085 | 2016-04-26 |
1255798963 | Shonteria Moore | Counselor | 1850 Pineview Dr, Columbia, SC 29209-5085 | 2016-01-26 |
1780055277 | Barbara Frances Kelly | Social Worker | 1850 Pineview Dr, Columbia, SC 29209-5085 | 2015-10-09 |
1114326485 | Jennifer Dunbar | Counselor | 1850 Pineview Dr, Columbia, SC 29209-5085 | 2014-08-22 |
1871841148 | Tamara D Walker | Student in an Organized Health Care Education/Training Program | 1850 Pineview Dr, Columbia, SC 29209-5085 | 2012-08-16 |
1639439243 | Chrystal De'nay Jenkins Jenkins | Licensed Practical Nurse | 1850 Pineview Dr, Columbia, SC 29209-5085 | 2012-05-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992293013 | Pertile Group LLC | Family Medicine | 26 Foot Point Rd, Columbia, SC 29209 | 2018-04-24 |
1083156061 | Derek Clark | Physical Therapist | 6349 Garners Ferry Rd, Columbia, SC 29209 | 2016-11-08 |
1922450345 | Heather Alexander | Social Worker | 6439 Garners-ferry Road, Suite 122, Wjb Dorn Va, Columbia, SC 29209 | 2016-07-09 |
1265888325 | Daphne Elaine Allen | Counselor | 1850 Pinview Dr, Columbia, SC 29209 | 2016-05-09 |
1659757649 | Marc Edmundson | Pharmacist | 500 Gills Creek Pkwy #810, Columbia, SC 29209 | 2015-08-03 |
1477949113 | Winter Years Home Health Care Agency, LLC | Home Health | 1101 1st Street, P, Columbia, SC 29209 | 2015-04-09 |
1285045773 | Alireza Adhami | Pharmacist | 7235 Garners Ferry Rd, Columbia, SC 29209 | 2014-05-19 |
1790039212 | Immediate Dental Group Columbia | Dentist | 1118 Greenlawn Drive, Columbia, SC 29209 | 2012-11-06 |
1275896284 | Tariq Horani | Internal Medicine | 6349 Garners Ferry Road, Int Med -, Columbia, SC 29209 | 2012-06-25 |
1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
Find all providers in zip 29209 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
1518565928 | Family and Individual Therapeutic Healing LLC | Counselor | 300 Long Pointe Ln Ste 220-b, Columbia, SC 29229-7543 | 2020-10-16 |
1093321150 | Cynthia Roark | Counselor | 1021 Pinnacle Point Dr Ste 120, Columbia, SC 29223-5740 | 2020-09-23 |
1033722871 | Laine Jones | Counselor | 455 Saint Andrews Rd # Suittec1, Columbia, SC 29210-4486 | 2020-08-30 |
1952914988 | Oprah Ingram | Counselor | 9570 Two Notch Rd Ste 8, Columbia, SC 29223-4309 | 2020-08-28 |
1093339897 | Bryant Rogers | Counselor | 2 Hempstead Pl, Columbia, SC 29229-7762 | 2020-06-08 |
1821627498 | Christi Stewart | Counselor | 1809 Atascadero Dr, Columbia, SC 29206-1413 | 2020-04-06 |
1316577299 | Chandra Hope Mossine | Counselor | 2012 Cherry Hill Dr Ste 102b, Columbia, MO 65203-5882 | 2020-01-20 |
1871132233 | Patricia Dudley | Counselor | 6659 Buckstone Ct, Columbia, MD 21044-4103 | 2020-01-03 |
1871139790 | James Roland Blucher | Counselor | 10545 Jason Ln, Columbia, MD 21044-2212 | 2019-11-26 |
Find all providers in COLUMBIA |
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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.