MS. MARY KATHRYN DUDLEY (NPI# 1083764617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083764617 |
| Entity Type | Individual |
| Full Name | MS. MARY KATHRYN DUDLEY |
| Credential | L. C. A. S. |
| Practice Address |
320 E Graham St Ste 3 Shelby NC 28150-5569 |
| Mailing Address |
Po Box 2463 Shelby NC 28151-2463 |
| Practice Telephone | 7044710110 |
| Practice Fax Number | 7044719696 |
| Mailing Telephone | 7044710010 |
| Mailing Fax Number | 7044719696 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
992 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6111867 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568958932 | Mary Lindsay Dudley | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Ronaoke, VA 24018 | 2018-07-09 |
| 1184077935 | Mary Faith Dudley | Nurse Practitioner | 1931 Medical Ave, Harrisonburg, VA 22801-3437 | 2016-07-18 |
| 1477981140 | Mary Elizabeth Dudley | Nurse Practitioner | 3263 Columbia Pike, Arlington, VA 22204-4351 | 2013-10-16 |
| 1891120135 | Mary Michele Dudley | Registered Nurse | 14 W Cherry St, Alma, AR 72921-3905 | 2013-09-05 |
| 1477747459 | Mary Helen Dudley | Pathology | 660 E 24th St, Kansas City, MO 64108-2606 | 2007-08-31 |
| 1558366658 | Mary G Dudley | Nurse Anesthetist, Certified Registered | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-15 |
| Street Address |
320 E GRAHAM ST STE 3 |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-5569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265582886 | Center for Assessment and Treatment Services, Inc. | Counselor | 320 E Graham St Ste 3, Shelby, NC 28150-5569 | 2007-01-12 |
| 1679623250 | Nina L. Mccurry | Counselor | 320 E Graham St Ste 3, Shelby, NC 28150-5569 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962999755 | Michael Lee Mason | Counselor | 2779 St. Rt. 39, Shelby, OH 44875 | 2018-04-17 |
| 1336646009 | Toia Branklin | Counselor | 2779 St Rt 39, Shelby, OH 44875 | 2018-04-10 |
| 1790200541 | Robin Lynn Laine | Counselor | 529 Park Ave, Shelby, MT 59474-2131 | 2017-08-12 |
| 1659895977 | Hope Billings | Counselor | 501 N Lafayette St, Shelby, NC 28150-4476 | 2017-07-28 |
| 1386179802 | Kenneth Young | Counselor | 169 Mansfield Ave, Shelby, OH 44875-1832 | 2017-04-21 |
| 1184166944 | Collette Scruggs | Counselor | 200-2 South Post Road, Shelby, NC 28152 | 2016-11-10 |
| 1851763957 | Kathy Sue Allen | Counselor | 941 E Marion St, Shelby, NC 28150-4740 | 2015-10-28 |
| 1144512872 | Sydney M Phipps | Counselor | 1201 S Post Rd # 100, Shelby, NC 28152 | 2011-05-13 |
| 1023250636 | Robert Andrew Mccully Jr. | Counselor | 1243 E Dixon Blvd, Shelby, NC 28152-6978 | 2009-03-27 |
| 1962653873 | Professional Care LLC | Counselor | 320 E Graham St, Suite 1, Shelby, NC 28150-5568 | 2008-10-09 |
| Find all providers in SHELBY | ||||
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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.