MR. MICHAEL DEWAYNE GRAHAM (NPI# 1093843773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093843773 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL DEWAYNE GRAHAM |
| Credential | BS |
| Practice Address |
611 8th St Clarksville TN 37040-3084 |
| Mailing Address |
901 Stanley St Hopkinsville KY 42240-4365 |
| Practice Telephone | 9319207292 |
| Practice Fax Number | 9319207212 |
| Mailing Telephone | 2798854776 |
| Mailing Fax Number | 9319207212 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922459346 | Michael William Graham | Physical Therapist | 10 Playland Dr, Saint Albans, WV 25177-3440 | 2016-06-27 |
| 1164731477 | Michael Graham | Registered Nurse | 5728 Yearling St, Lakewood, CA 90713-1854 | 2010-10-04 |
| 1689801813 | Michael Patrick John Graham | Counselor | 3705 Marquette Ave Ne, Albuquerque, NM 87108-1031 | 2009-06-15 |
| 1861632507 | Michael Graham Sr. | Counselor | 796 Highland Avenue, Waterbury, CT 06708-4710 | 2009-02-20 |
| 1013125319 | Michael James Graham | Dentist | 406 3rd Ave Ne, Cullman, AL 35055-2928 | 2007-05-18 |
| 1598985657 | Michael Steven Graham | Family Medicine | 37 Haystack Rd, Hinesburg, VT 05461-6613 | 2007-04-30 |
| 1023237591 | Michael Bernard Graham | Internal Medicine | 2775 Sanders Rd, Suite C1, Northbrook, IL 60062-6110 | 2007-04-24 |
| 1902927502 | Michael Charles Graham | Hearing Instrument Specialist | 13112 Nacogdoches Rd Ste 2, San Antonio, TX 78217-1548 | 2007-04-02 |
| 1083776868 | Michael E Graham | Obstetrics & Gynecology | 4720 S I-10 Service Road, Suite 104, Metairie, LA 70001 | 2006-12-15 |
| 1205901477 | Michael Clyde Graham | Physician Assistant | 225 6th St, Potlatch, ID 83855-5002 | 2006-11-22 |
| Street Address |
611 8TH ST |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-3084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770611329 | Rita Roberta Lewis | Counselor | 611 8th St, Clarksville, TN 37040-3084 | 2007-03-02 |
| 1326569088 | Kerry Michelle Bowling | Counselor | 611 8th St, Clarksville, TN 37040-3084 | 2017-07-03 |
| 1861922585 | Ashley Suzanne Harper | Social Worker | 611 8th St, Clarksville, TN 37040-3084 | 2017-06-14 |
| 1700261914 | Breanne Sky Nixon | Health Educator | 611 8th St, Clarksville, TN 37040-3084 | 2015-07-29 |
| 1518390657 | Megan Elizabeth Bustin | Community Health Worker | 611 8th St, Clarksville, TN 37040-3084 | 2013-08-13 |
| 1750635603 | Miranda Hale | Community Health Worker | 611 8th St, Clarksville, TN 37040-3084 | 2012-10-30 |
| 1932453859 | Shelli Baxter | Community Health Worker | 611 8th St, Clarksville, TN 37040-3084 | 2012-10-30 |
| 1568608925 | Irene Mary Howard | Counselor | 611 8th St, Clarksville, TN 37040-3084 | 2009-01-06 |
| 1013161876 | Sara N. Sharp | Counselor | 611 8th St, Clarksville, TN 37040-3084 | 2008-11-06 |
| 1407986193 | Mary Kathryn Darke | Counselor | 611 8th St, Clarksville, TN 37040-3084 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553599 | Spring Forth Counseling | Counselor | 2515 Wilma Rudolph Blvd Ste 107, Clarksville, TN 37040-5824 | 2020-06-22 |
| 1033734843 | Elizabeth Ann Abruzzese | Counselor | 404 Carson Bailey Ct, Clarksville, TN 37043-1543 | 2020-06-08 |
| 1811511595 | Tamika Payne | Counselor | 3407 Queensbury Rd, Clarksville, TN 37042-8152 | 2020-05-29 |
| 1457988370 | Chandra Christine Moma | Counselor | 2517 Remington Trce, Clarksville, TN 37043-1619 | 2020-03-23 |
| 1932735024 | Douglas Anthony Dixon | Counselor | 1611 Johnson Ln, Clarksville, IN 47129-1405 | 2020-03-20 |
| 1023658648 | Aimee Vaughn | Counselor | 3452 Heatherwood Trce, Clarksville, TN 37040-5735 | 2020-01-11 |
| 1811539539 | Phillip Haney | Counselor | 2032 Lintwood Dr, Clarksville, TN 37042-4107 | 2019-10-15 |
| 1396387171 | Phoenix Rising Counseling LLC | Counselor | 2535 Madison St Ste E, Clarksville, TN 37043-3921 | 2019-10-12 |
| 1194371807 | Elizabeth B Thomas | Counselor | 1662 Golf Club Ln, Clarksville, TN 37043-4897 | 2019-08-18 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on MR. MICHAEL DEWAYNE GRAHAM.
| 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.