COLLEEN ANNE VERNOLD


Address: 7900 Beeches Turin Road, Bldg. 3, Ste. 4, Beeches Professional Campus, Rome, NY 13440
Phone: 3153344555

COLLEEN ANNE VERNOLD (NPI# 1134232705) 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) 1134232705
Entity Type Individual
Full Name COLLEEN ANNE VERNOLD
Credential LCSW-R
Practice Address 7900 Beeches Turin Road, Bldg. 3, Ste. 4
Beeches Professional Campus
Rome
NY 13440
Mailing Address 7900 Turin Road, Bldg. 3, Ste. 4
Beeches Professional Campus
Rome
NY 13440
Practice Telephone 3153344555
Practice Fax Number 3153344554
Mailing Telephone 3153344555
Mailing Fax Number 3153344554
Enumeration Date 2006-08-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
R052546 NY Behavioral Health & Social Service Providers

Office Location

Street Address 7900 BEECHES TURIN ROAD, BLDG. 3, STE. 4,
BEECHES PROFESSIONAL CAMPUS
City ROME
State NY
Zip Code 13440

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1821526450 Whitney Gates Counselor 1400 Crane St Sw, Rome, GA 30161-6333 2017-05-26
1881138881 Council for Community Wellness Counselor 1148 N Broad St Ne, Rome, GA 30161-5209 2016-12-09
1023552288 Wilbur Roe II Counselor 17 Weathers Rd Sw, Rome, GA 30165-4152 2016-12-07
1265837728 Carrie Renee Dentino Counselor 107 Macarthur Dr, Rome, NY 13440-3818 2014-10-27
1710398748 Sara Nicole Bessette Counselor 143 W Dominick St, Rome, NY 13440-5857 2014-05-13
1700219995 Rene' Marie Ciaccia Counselor 1303 Bedford St, Rome, NY 13440-2601 2013-08-12
1922448794 Mauricia Anitra Pledger Counselor 215 Robin Hood Rd Ne, Rome, GA 30161-5853 2013-06-26
1154695625 Jeremy David Lane Counselor 309 E 3rd St Apt 5, Rome, GA 30161-3194 2012-03-01
1154565885 Karen Louise Flemming Counselor 1019 Westbrook Dr, Rome, NY 13440-2535 2009-04-24
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Competitor

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City ROME
Zip Code 13440

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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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