CHERAE NIKIA STOVALL


Address: 1704 Manchester Boulevard, Suite 202, Los Angeles, CA 90047
Phone: 3235310565

CHERAE NIKIA STOVALL (NPI# 1063071652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063071652
Entity Type Individual
Full Name CHERAE NIKIA STOVALL
Practice Address 1704 Manchester Boulevard
Suite 202
Los Angeles
CA 90047
Practice Telephone 3235310565
Mailing Telephone 3235310565
Enumeration Date 2019-06-07
Last Update Date 2019-06-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
5076 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1704 MANCHESTER BOULEVARD
SUITE 202
City LOS ANGELES
State CA
Zip Code 90047

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90047

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Dataset Information

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.

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