THE CENTRE (NPI# 1104073592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104073592 |
| Entity Type | Organization |
| Organization Name | THE CENTRE |
| Practice Address |
1290 Main St Ste E Daphne AL 36526-8624 |
| Practice Telephone | 2516250118 |
| Practice Fax Number | 2516250116 |
| Mailing Telephone | 2516250118 |
| Mailing Fax Number | 2516250116 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-09-16 |
| Authorized Official Name | MR. ROBERT EDWIN COLCLOUGH (DIRECTOR) |
| Authorized Official Telephone | 2516250118 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC 111 AL | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS | 515 92982 | 01 |
| AL | BLUE CROSS ROBERT COLCLOUGH | 515 92986 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | THE CENTRE AT 935, INC. | 429 Atlantic Avenue Suite 2a, Freeport, Ny 11520 |
| System for Award Management (SAM) Entities | THE CENTRE FOR EQUALITY AND EQUITY | No 10, 2nd Avenue 231 Road Efab City Est, Abuja, , NGA |
| Oregon Corporations, Companies and Business Names | THE CENTRE FOR NEW VIBE TRAINING | 11650 Sw 67th Ave Ste 230, Portland, OR 97223 |
| New York State Corporations | THE CENTRE FOR PANAFRIC ARTS INC. | 1967 Wehrle Drive, Suite 1 #086, Buffalo, Ny 14221 |
| Colorado Business Entities | The Centre for Renewal | 600 S Airport Rd Unit Af1, Longmont, CO 80503 |
| Massachusetts Corporations | THE CENTRE FOR UN MANAGEMENT ACCOUNTABILITY CHARITABLE CORPORATION | 14 Lady Slipper Drive, Dennis, MA 02638 |
| Oregon Corporations, Companies and Business Names | THE CENTRE GLASS SHOP | 463 River Ave, Eugene, OR 97404 |
| Oregon Corporations, Companies and Business Names | THE CENTRE GLASS SHOP, LLC | 478 Naismith Blvd, Eugene, OR 97404 |
| Connecticut Business Registrations | THE CENTRE INC | 14 Johnny Appleseed Drive, Sandy Hook, CT 06482 |
| Virginia Business Entities | The Centre Inc. | 365 Roberts Mountain Rd, Faber, Virginia 22938 |
| Street Address |
1290 MAIN ST STE E |
| City | DAPHNE |
| State | AL |
| Zip Code | 36526-8624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174713838 | Julia Hinds Taylor | Counselor | 1290 Main St Ste E, Daphne, AL 36526-8624 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173464 | H3o Living, LLC | Clinic/Center | 29000 U.S. 98, Daphne, AL 36526 | 2020-08-05 |
| 1790345403 | Gregory Conner Reese | Student in an Organized Health Care Education/Training Program | 27654 Red Eagle Drive, Daphne, AL 36526 | 2019-06-14 |
| 1649787912 | Jubilee Family Dentistry, LLC | Dentist | 6475 Jordan Avenue, Daphne, AL 36526 | 2018-01-08 |
| 1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
| 1366957011 | Emily Jane Tisdale | Behavioral Analyst | 1203 Us Highway 98 Ste 2a9, Daphne, AL 36526 | 2017-12-04 |
| 1437680600 | Blair Hoffman Pringle | Nurse Practitioner | 26179 Capitol Drive Suite A, Daphne, AL 36526 | 2017-03-21 |
| 1275915324 | Simara Sokom | Pharmacist | 29487 State Highway 181, Daphne, AL 36526 | 2015-06-25 |
| 1366859126 | Seth Matthew Gross | Pharmacist | 101b Villa Drive, Suite B-260, Daphne, AL 36526 | 2014-07-14 |
| 1841627940 | Michelle Renae Counts | Counselor | 9086 Merritt Road Suite C, Williamsburg Plaza, Daphne, AL 36526 | 2013-10-03 |
| 1194066613 | Ryan Nobles | Chiropractor | 6483 Van Buren Street, Suite 101, Daphne, AL 36526 | 2013-03-07 |
| Find all providers in zip 36526 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437670346 | Rochelle W Murrell | Counselor | 28080 Us Highway 98 Ste C, Daphne, AL 36526-7012 | 2017-06-30 |
| 1316341696 | Victoria Nicole Steber Chenault | Counselor | 26827 Augustine Dr, Daphne, AL 36526-1035 | 2014-10-15 |
| 1063654697 | Cheryl Bray Bray | Counselor | 2401 Main Street, Daphne, AL 36526 | 2009-03-27 |
| 1548446404 | Elizabeth M. Wharton Ix | Counselor | 102 Lejay Cir, Daphne, AL 36526-7953 | 2008-01-10 |
| 1407972961 | Sara Pennington Parker | Counselor | 27625 Us Highway 98 Bldg A, Daphne, AL 36526-4816 | 2007-03-22 |
| 1093729451 | Patricia A Vanderpool | Counselor | 1605 Main St, Daphne, AL 36526-4463 | 2006-07-28 |
| 1285248328 | The Sanctuary Counseling Center | Counselor | 1290 Main St Ste C, Daphne, AL 36526-8624 | 2020-09-05 |
| 1821619206 | Jameron Deonte Gatson | Counselor | 6642 Park Dr, Daphne, AL 36526-5253 | 2020-04-27 |
| 1346712502 | Ashley Alvis Lathan | Counselor | 7400 Roper Ln, Daphne, AL 36526-5274 | 2018-12-27 |
| 1265928030 | Alicia Bianca Spomer | Counselor | 711 Belrose Ave, Daphne, AL 36526-4514 | 2018-07-05 |
| Find all providers in DAPHNE | ||||
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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.