EBONY A HICKS (NPI# 1043695075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043695075 |
| Entity Type | Individual |
| Full Name | EBONY A HICKS |
| Credential | MSW |
| Practice Address |
22790 Sw 112th Ave Miami FL 33170-7602 |
| Practice Telephone | 3052352616 |
| Practice Fax Number | 3052356178 |
| Mailing Telephone | 3052352616 |
| Mailing Fax Number | 3052356178 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477953164 | Ebony Renee Hicks | Counselor | 3723 Elmora Avenue, Baltimore, MD 21213 | 2014-08-29 |
| 1063983781 | Ebony Hicks | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2018-12-06 |
| Street Address |
22790 SW 112TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33170-7602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629089677 | Joshua Paul Werblin | Psychiatry & Neurology | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2006-08-11 |
| 1104472877 | Julie Ann Featherman | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2019-08-17 |
| 1730697129 | Tiffany E Montero | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2018-01-19 |
| 1295249118 | Yahaira Santana | Behavior Technician | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2017-11-30 |
| 1811408487 | Stephaney Ottey-williams | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2017-10-23 |
| 1447614581 | Silvia P Reyes | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2016-04-05 |
| 1164886206 | Melissa Ortega | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2016-04-05 |
| 1144684283 | Jean Rasquin | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2016-04-05 |
| 1861856908 | Rachel Amezcua | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2016-04-05 |
| 1619339330 | Yanaika Villarreal | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117224 | Beautiful Minds Medical Center LLC | Clinic/Center | 11045 Sw 216th Street, Unit 6, Miami, FL 33170 | 2020-09-03 |
| 1801414214 | Maria Del Carmen Acosta | Behavior Technician | 11270 Sw 219 St, Miami, FL 33170 | 2020-07-13 |
| 1912540857 | Ryan David Moore | Military Health Care Provider | Montereale 24, Aviano, PORDENONE 33170 | 2019-10-23 |
| 1982171633 | Arc Dialysis Perrine LLC | Clinic/Center | 22165 S Dixie Hwy, Miami, FL 33170 | 2018-10-31 |
| 1376019059 | Pw Group Home Inc. | Clinic/Center | 22931 Sw 114 Path, Miami, FL 33170 | 2018-10-19 |
| 1679062814 | Interdisciplinary Healthcare Services LLC | Assisted Living Facility | 12751 Sw 226 Street, Miami, FL 33170 | 2018-05-03 |
| 1861925836 | Aida Marmol | Behavior Technician | 23065 Sw 113 Passage, Miami, FL 33170 | 2017-04-06 |
| 1518404706 | Jessica Laurent | Nurse Practitioner | 13262 Sw 216 Terrace, Miami, FL 33170 | 2017-01-25 |
| 1871943266 | Dannisa Olafsen | Behavior Technician | 22851 Sw 157th Ave, Miami, FL 33170 | 2016-06-15 |
| 1639526262 | Priscilla Ruiz | Assistant Behavior Analyst | 22655 Sw 127th Ct, Miami, FL 33170 | 2016-05-24 |
| Find all providers in zip 33170 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573898 | Michaelle J Sylveus | Counselor | 10794 N Kendall Dr Apt B18, Miami, FL 33176-1466 | 2020-09-22 |
| 1346851847 | South Florida Arts & Counseling, Inc | Counselor | 2727 Nw 17th Ter Apt 205, Miami, FL 33125-1149 | 2020-08-10 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710508908 | Michelle Lee Zuzock | Counselor | 2160 Sw 16th Ave Apt 315, Miami, FL 33145-2870 | 2020-04-29 |
| 1043856909 | Kristen Patterson | Counselor | 19400 Gulfstream Rd., Miami, FL 33157-6817 | 2019-11-25 |
| 1932745965 | Jessica Mantell | Counselor | 1300 Brickell Bay Dr Apt 1204, Miami, FL 33131-3385 | 2019-11-25 |
| 1588209381 | Toni T Rice | Counselor | 2780 S.w. 37th Ave, Suite #206, Miami, FL 33133 | 2019-11-15 |
| 1841858537 | Julio A Abraham Jr. | Counselor | 13029 Nw 9th Ter, Miami, FL 33182-2388 | 2019-05-29 |
| 1922564772 | Ibrahin Miranda | Counselor | 1562 Sw 144th Ave, Miami, FL 33184-3271 | 2019-02-18 |
| 1104380849 | Mabel M Castro | Counselor | 20535 Nw 2nd Ave Ste 204, Miami, FL 33169-2547 | 2019-01-28 |
| Find all providers in MIAMI | ||||
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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.