EVIE KALYANI LAFOUNTAIN


Address: 5506 Michaels Dr Apt 1, Appleton, WI 54913-8648
Phone: 7155879999

EVIE KALYANI LAFOUNTAIN (NPI# 1144487620) 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) 1144487620
Entity Type Individual
Full Name EVIE KALYANI LAFOUNTAIN
Credential LCSW
Practice Address 5506 Michaels Dr Apt 1
Appleton
WI 54913-8648
Practice Telephone 7155879999
Mailing Telephone 7155879999
Enumeration Date 2008-05-21
Last Update Date 2008-05-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
883-123 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39554400 05

Office Location

Street Address 5506 MICHAELS DR APT 1
City APPLETON
State WI
Zip Code 54913-8648

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1780116244 Alison Pelger Physician Assistant 3916 North Intertech Court, Appleton, WI 54913 2017-04-03
1316311905 Lucy Bouressa Specialist/Technologist 2105 E. Enterprise Ave, 113, Appleton, WI 54913 2015-11-19
1992189989 Brittany Reinke Physical Therapist Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 2015-07-20
1902280092 Costco Wholesale Corporation Pharmacy 5401 W Integrity Way, Grand Chute, WI 54913 2015-07-17
1942646849 Richard Anthony Mauthe Pharmacist 5401 W. Integrity Way, Neenah, WI 54913 2013-05-17
1750622163 Tonya Janelle Wilderman Pharmacist 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 2013-03-10
1295938777 Jenna Marie Kadlec Physical Therapist 3916 N. Intertech Court, Appleton, WI 54913 2007-06-11
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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

NPI Name Taxonomy Address Enumeration
1356962633 Amy Felice Woolf Counselor 6 Northbreeze Cir, Appleton, WI 54911-1247 2020-04-28
1649819145 Ellen J. Lutz Counselor 2031 E Calumet St., Appleton, WI 54915-4742 2019-12-31
1174080063 Shayla Russell Counselor Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 2019-02-27
1487124848 Kathleen N Huskey Counselor 516 E Wisconsin Ave, Appleton, WI 54911-4863 2018-11-28
1255860912 Appleton Counseling Management LLC Counselor 477 S Nicolet Rd., Appleton, WI 54914 2017-06-07
1972915700 Adalia Maritza Jansen Counselor 3701 E Evergreen Dr Ste 260, Appleton, WI 54913-7402 2014-05-28
1275809352 A Single Step, LLC Counselor 821 E 1st Ave Ste 5, Appleton, WI 54911-1586 2012-03-22
1811216484 Jodi Lynn Huebner Counselor 1045 N Lynndale Dr Ste 2d, Appleton, WI 54914-3048 2010-05-21
1316186141 Kate Mary Mccarthy Counselor 3003 N Richmond St, Appleton, WI 54911-1148 2009-02-18
1154592822 Lynn F Kelley Counselor 1333 Union Rd, Appleton, ME 04862-6607 2008-03-20
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Competitor

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City APPLETON
Zip Code 54913

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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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