LUCY MARILYN DOUGLAS (NPI# 1053434928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053434928 |
| Entity Type | Individual |
| Full Name | LUCY MARILYN DOUGLAS |
| Credential | LMHC, ATR-BC |
| Practice Address |
2311 Warren Ave Saint Charles IA 50240-8502 |
| Practice Telephone | 6413962703 |
| Mailing Telephone | 6413962703 |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
00355 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235563164 | Lucy Douglas | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2013-08-27 |
| 1235487380 | Lucy Douglas | Clinical Nurse Specialist | 1809 Northpointe Ln, Suite 203, Ruston, LA 71270-3853 | 2012-08-21 |
| Street Address |
2311 WARREN AVE |
| City | SAINT CHARLES |
| State | IA |
| Zip Code | 50240-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235173378 | Dr. Eischen Clinic, P. C. | Family Medicine | 106 West Main Street, Suite 267, Saint Charles, IA 50240-0267 | 2006-06-16 |
| 1487212429 | Apex Chiropractic LLC | Chiropractor | 302 S Highland St, Saint Charles, IA 50240-1519 | 2019-06-04 |
| 1003910100 | St Charles Medical Clinic Plc | Family Medicine | 101 E. Main St., St Charles, IA 50240-1522 | 2006-09-11 |
| 1699747444 | Michael Gorski | Family Medicine | 101 E Main St, Saint Charles, IA 50240-1522 | 2006-02-06 |
| 1740370667 | Montross Pharmacy Inc | Pharmacy | 134 W Main St, Saint Charles, IA 50240-7701 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153062 | Physical Therapy Direct, LLC | Physical Therapist | 25 Terre Verte Ct, Saint Charles, MO 63304-1217 | 2020-11-01 |
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1134728207 | Bryanna Scherer | Family Medicine | 961 Weatherstone Dr, Saint Charles, MO 63304-4520 | 2020-10-20 |
| 1164021408 | Jacob Schmitz | Chiropractor | 380 Beckley Pl, Saint Charles, MO 63304-1029 | 2020-10-19 |
| 1689272874 | Jacob Oliver Allen | Student in an Organized Health Care Education/Training Program | 3506 Frontier Dr, Saint Charles, MO 63303-6636 | 2020-10-11 |
| 1164020335 | Taylor Fumagalli | Specialist/Technologist | 1421 Woodstone Dr, Saint Charles, MO 63304-6866 | 2020-10-11 |
| 1184221368 | Deborah L Tannenbaum, Lcsw, LLC | Social Worker | 3000 Arrow Rock Dr, Saint Charles, MO 63303-6502 | 2020-10-01 |
| 1811504889 | Mary Kate Francis | Counselor | 2 Buckingham Pl Apt A, Saint Charles, MO 63301-1198 | 2020-09-24 |
| 1457967622 | Candace Cunningham | Physical Therapist | 1348 Bass Pro Dr, Saint Charles, MO 63301-2461 | 2020-09-22 |
| 1972119014 | Michael Christopher Hassert | Nurse Practitioner | 2290 Graystone Dr, Saint Charles, MO 63303-5159 | 2020-09-22 |
| Find all providers in SAINT CHARLES | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033606769 | Christina Marie Crain | Counselor | 501 Chele Dr, Saint Charles, MO 63304 | 2018-04-18 |
| 1780922476 | Kristen James | Counselor | 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 | 2013-01-30 |
| 1982991634 | Nancy Jean Mesey | Counselor | 2536 S Old Highway 94 Ste 120, Saint Charles, MO 63303-5627 | 2011-07-01 |
| 1508162124 | Julie Burr | Counselor | 105 Beringer Dr, Saint Charles, MO 63304-1466 | 2011-01-28 |
| 1922252568 | Susan D Hanson | Counselor | 405 Illinois Ave Ste 2c&d, Saint Charles, IL 60174-2963 | 2008-11-10 |
| 1265635478 | Susan Decatur-davis | Counselor | 523 S 5th St, Saint Charles, MO 63301-2634 | 2007-06-06 |
| 1962551069 | William R Cunningham Jr. | Counselor | 820 S Main St, Suite 307, Saint Charles, MO 63301-3306 | 2007-01-09 |
| 1457300568 | James Lee Burdick | Counselor | 3910 S Old Highway 94, Suite 110, Saint Charles, MO 63304-2834 | 2006-05-08 |
| 1245214154 | Allison G. Johnsen | Counselor | 2445 Dean St Unit A, Saint Charles, IL 60175-4828 | 2005-12-05 |
| 1033108758 | Janette Bizzell | Counselor | 4 Fairways Cir, Unit C, Saint Charles, MO 63303-3347 | 2005-10-14 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 50240 |
Please comment or provide details below to improve the information on LUCY MARILYN DOUGLAS.
| 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.