LAURY THAMMAVONG (NPI# 1114335072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114335072 |
| Entity Type | Individual |
| Full Name | LAURY THAMMAVONG |
| Practice Address |
1735 Mission St San Francisco CA 94103-2417 |
| Practice Telephone | 4152261775 |
| Practice Fax Number | 4158650119 |
| Mailing Telephone | 4152261775 |
| Mailing Fax Number | 4158650119 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |
| 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) |
R1-T1407081924 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BREINING INSTITUTE | R1-T1407081924 | 01 |
| Street Address |
1735 MISSION ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94103-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275599052 | Ako A Jacintho | Family Medicine | 1735 Mission St, San Francisco, CA 94103-2417 | 2006-04-21 |
| 1740894179 | Catherine Grace Gilbert | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2020-09-02 |
| 1417569674 | Ilse Ruby Roques Juarez | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2020-08-19 |
| 1427676642 | Ella Garfield | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2020-07-14 |
| 1578197315 | Robert Andujo | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2020-03-02 |
| 1801428933 | Carly Stock | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2020-02-06 |
| 1114558160 | Ian Winston Clark-johnson | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2020-01-29 |
| 1669018271 | Seung Yun Shin | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2019-11-19 |
| 1003469784 | Stephanie Chiri | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2019-07-22 |
| 1528521820 | Sophia Lin Harrison-wong | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2019-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015665 | Cheng Chi Chang | Student in an Organized Health Care Education/Training Program | 987 Mission Street, San Francisco, CA 94103 | 2019-10-22 |
| 1366925604 | Sharon Farrell | Specialist | Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 | 2018-09-12 |
| 1548748759 | Muvr Labs, Inc | Clinic/Center | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
| 1245727585 | Marco Alejandro Regalado Chacon | Counselor | 1035 Market St Ste 100, San Francisco, CA 94103 | 2018-04-20 |
| 1679091854 | Maia Elizabeth Anello | Counselor | 42 Mclea Ct., San Francisco, CA 94103 | 2017-09-07 |
| 1710405584 | Wendy Siuping Leung | Specialist | 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 | 2017-08-31 |
| 1740707397 | Leslie My Ngoc Lam | Specialist | 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 | 2017-08-24 |
| 1598281990 | Raymundo Macias | Counselor | 1563 Mission Street, San Francisco, CA 94103 | 2017-08-17 |
| 1720502461 | Kathie Isabel Cordova | Specialist | 1380 Howard Streeet, San Francisco, CA 94103 | 2017-08-02 |
| 1154850428 | Elizabeth Osterwald | Counselor | 150 9th Street, San Francisco, CA 94103 | 2017-06-08 |
| Find all providers in zip 94103 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1619581956 | Jamie Marion Brown | Counselor | 1233 Noriega St Apt 4, San Francisco, CA 94122-4455 | 2020-09-03 |
| 1154931970 | Dagmawit Aberham Negash I | Counselor | 1735 Mission St. San Francisco, Ca, San Francisco, CA 94103-2417 | 2020-08-06 |
| 1710503420 | Seville Christian | Counselor | 75 Dore St Apt 107, San Francisco, CA 94103-3892 | 2020-06-18 |
| 1326673773 | Jeffrey Douglas Washington | Counselor | 1040 Sutter St Apt 56, San Francisco, CA 94109-5833 | 2020-03-05 |
| 1801429253 | Domenique Marie Stern | Counselor | 1049 Market St Apt 603, San Francisco, CA 94103-1635 | 2020-02-13 |
| 1487123436 | Judith St Louis-schmidt | Counselor | 735 Taylor St # 208, San Francisco, CA 94108-3807 | 2018-11-20 |
| 1114405495 | Angela Christina Thomas | Counselor | 1633 Newcomb Ave, San Francisco, CA 94124-2318 | 2018-07-30 |
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1265923353 | Benjamin Adam Schaeffer | Counselor | 440 Potrero Ave Fl 2, San Francisco, CA 94110-1430 | 2018-05-23 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94103 |
Please comment or provide details below to improve the information on LAURY THAMMAVONG.
| 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.