SHANICE MONAE STEPHENSON (NPI# 1043871924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043871924 |
Entity Type | Individual |
Full Name | SHANICE MONAE STEPHENSON |
Practice Address |
604 E Front St Unit 1555 Clayton NC 27528-0403 |
Mailing Address |
Po Box 1555 Clayton NC 27528-1555 |
Practice Telephone | 9194181613 |
Mailing Telephone | 9194181613 |
Enumeration Date | 2019-06-22 |
Last Update Date | 2020-08-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NC | Behavioral Health & Social Service Providers | |
Y | 101YP2500X |
Counselor Specialization: Professional |
NC | Behavioral Health & Social Service Providers |
Street Address |
604 E FRONT ST UNIT 1555 |
City | CLAYTON |
State | NC |
Zip Code | 27528-0403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467699157 | William L Friedrich | Counselor | Hwy 70 West Suite 11181-a, Clayton, NC 27528 | 2009-01-16 |
1982728945 | Angela Carmella Smith | Contractor | 9933 Olde Town Square, Clayton, NC 27528 | 2007-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992306708 | Paula Sue Brown | Nurse Practitioner | 1020 N Lawson Blvd, Clayton, OK 74536-0219 | 2020-11-06 |
1528669611 | Rosheika Wilson | Licensed Practical Nurse | 114 Charter Oak Dr, Clayton, NC 27520-4905 | 2020-11-04 |
1740881200 | Guylante Jeune | Nurse Practitioner | 121 E Howard St, Clayton, NJ 08312-1237 | 2020-11-02 |
1083213870 | Lacey Susan Thomas | Midwife, Lay | 3270 Wheeler Hwy, Clayton, MI 49235-9728 | 2020-10-22 |
1972102069 | Lacretia Denise Ray | Massage Therapist | 310 W Copenhaver Dr, Clayton, NC 27527-9549 | 2020-10-20 |
1730787326 | Rebecca Carter | Psychologist | 510 W. Main St., Clayton, DE 19938 | 2020-10-15 |
1619575990 | Emmanuel Freeman | Psychologist | 92 E Radison Run, Clayton, DE 19938-3849 | 2020-10-09 |
1083211411 | Elizabeth Krisko | Psychologist | 3579 Holletts Corner Rd, Clayton, DE 19938-3129 | 2020-10-08 |
1578160453 | Dave Wetzel | In Home Supportive Care | 5585 W Wenger Rd, Clayton, OH 45315-7927 | 2020-10-05 |
1447867999 | Pivotal Breakthrough Counseling Services, Pllc | Counselor | 604 E Front St # 1555, Clayton, NC 27520-2058 | 2020-09-29 |
Find all providers in CLAYTON |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366058711 | David Oliver | Counselor | 8000 Bonhomme Ave Ste 201d, Clayton, MO 63105-3515 | 2020-09-21 |
1306459060 | Misha Benavides Pelligreen | Counselor | 7556 Wydown Blvd Apt 2e, Clayton, MO 63105-2752 | 2020-08-24 |
1437781978 | Leigh H Gerard | Counselor | 225 S Meramec Ave # 721t, Clayton, MO 63105-3669 | 2020-02-12 |
1518516053 | Elise Marie Ringenberg | Counselor | 8000 Bonhomme Ave Ste 406, Clayton, MO 63105-3515 | 2019-09-07 |
1700446283 | Trinity Wellness, LLC | Counselor | 6365 Clayton Rd Fl 2, Clayton, MO 63117-1808 | 2019-06-18 |
1225527930 | Jason Duchinsky | Counselor | 141 N Meramec Ave Ste 10b, Clayton, MO 63105-3393 | 2018-05-08 |
1114436268 | Janice Rando | Counselor | 200 E Main St Ste 201, Clayton, NC 27520-2487 | 2017-09-20 |
1205356961 | Mckenzie Bossert | Counselor | 510 W Main St Ste 100, Clayton, NC 27520-1650 | 2017-06-23 |
1225572282 | Camille E. Neal | Counselor | 232 River Hills Dr, Clayton, NC 27527-5805 | 2016-12-10 |
1518416015 | Glenn Moore | Counselor | 9 Kindle Ct, Clayton, NJ 08312-2158 | 2016-09-25 |
Find all providers in CLAYTON |
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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.