MICHELLE A DEDEAUX (NPI# 1033770144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033770144 |
| Entity Type | Individual |
| Full Name | MICHELLE A DEDEAUX |
| Practice Address |
302 Courthouse Rd Ste G Gulfport MS 39507-1890 |
| Practice Telephone | 2288977465 |
| Mailing Telephone | 2288977465 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
302 COURTHOUSE RD STE G |
| City | GULFPORT |
| State | MS |
| Zip Code | 39507-1890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942716212 | Jillian Nunez | Social Worker | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2017-12-21 |
| 1811539158 | Choices Coordinated Care Solutions, Inc. | Case Management | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2019-10-08 |
| 1902453632 | Amanda Duran | Counselor | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2019-08-19 |
| 1821643990 | Shuida Haynes | Counselor | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2019-08-06 |
| 1710544341 | Shanon Renee Hale | Social Worker | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2019-05-20 |
| 1932764289 | Jalillian W Bolton | Social Worker | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2019-05-02 |
| 1265998389 | Todd Milton Cohen | Social Worker | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2019-02-13 |
| 1801352182 | Devante Sago | Counselor | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2019-02-12 |
| 1366916462 | Felicia Faye Downs | Counselor | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2019-01-11 |
| 1063983096 | Jordan Elizabeth Mitchell | Social Worker | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609389105 | Karen R Burns | Speech-Language Pathologist | 3506 Washington Avenue, Ste E, Gulfport, MS 39507 | 2017-11-07 |
| 1538605027 | Andrea Broussard | Personal Emergency Response Attendant | 406 Pass Rd, Gulfport, MS 39507 | 2017-01-09 |
| 1366872491 | William Alexis Marcia | Pharmacist | 1444 East Pass Road, Gulfport, MS 39507 | 2013-11-27 |
| 1740599380 | Advanced Hearing Systems, Inc. | Hearing Instrument Specialist | 401 Security Square, Gulfport, MS 39507 | 2010-09-30 |
| 1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
| 1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
| 1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
| 1043422553 | Mark D Stringer | Dentist | 520-a Courthouse Road, Gulfport, MS 39507 | 2007-05-04 |
| 1154543528 | Pass Road Elementary | Registered Nurse | 37 Pass Road, Gulfport, MS 39507 | 2007-05-03 |
| 1417073768 | John Hough Hopkins | Dentist | 3303 A Ave, Gulfport, MS 39507 | 2007-03-21 |
| Find all providers in zip 39507 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582418 | Monica Jean Davis | Counselor | 1601 49th St S, Gulfport, FL 33707-4340 | 2020-09-09 |
| 1396380234 | Jasmine L. Smith | Counselor | 1520 29th Ave Ste 3, Gulfport, MS 39501-2843 | 2019-11-14 |
| 1437710605 | Bridgette Denise Harris | Counselor | 12450 Three Rivers Rd # A-13, Gulfport, MS 39503-2970 | 2019-06-27 |
| 1174010292 | Charla Ann Wilson | Counselor | 2352 E Pass Rd, Gulfport, MS 39507-3805 | 2018-04-13 |
| 1851808893 | Cori L Walker | Counselor | 3427 Washington Ave, Gulfport, MS 39507-3039 | 2017-12-29 |
| 1467964270 | Melissa Lee Georgopolis | Counselor | 5800 20th Ave S, Gulfport, FL 33707-4050 | 2017-11-02 |
| 1376928697 | Holly Arnoult | Counselor | 240b Courthouse Rd, Gulfport, MS 39507-1214 | 2015-07-28 |
| 1942696596 | Debra Steinfeld | Counselor | 1608 53rd St S, Gulfport, FL 33707-4237 | 2015-04-10 |
| 1538500350 | Jaime Kathryn Parker | Counselor | 370 Courthouse Rd Ste 102, Gulfport, MS 39507-1889 | 2013-07-09 |
| 1215279047 | Estelle Lacoste Robinson | Counselor | 1455 E Pass Rd, B, Gulfport, MS 39507-3523 | 2013-03-19 |
| Find all providers in GULFPORT | ||||
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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.