PALMETTO COUNSELING AND WELLNESS, PLLC (NPI# 1144769795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144769795 |
Entity Type | Organization |
Organization Name | PALMETTO COUNSELING AND WELLNESS, PLLC |
Practice Address |
1845 S Dobson Rd Suite 207 Mesa AZ 85202-5661 |
Practice Telephone | 4803165462 |
Mailing Telephone | 4803165462 |
Enumeration Date | 2017-02-15 |
Last Update Date | 2017-02-15 |
Authorized Official Name | MS. JACQUELYN MORELLA LEGER (FOUNDER & COUNSELOR) |
Authorized Official Telephone | 4803165462 |
Authorized Official Credential | M.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | LPC-16033 | AZ | Agencies |
Street Address |
1845 S DOBSON RD SUITE 207 |
City | MESA |
State | AZ |
Zip Code | 85202-5661 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801850185 | Colleen R Kumia | Social Worker | 1845 S Dobson Rd, Suite 207, Mesa, AZ 85202-5661 | 2006-04-14 |
1558895417 | Deanne Wilson | Dietitian, Registered | 1845 S Dobson Rd, Suite 213, Mesa, AZ 85202-5661 | 2017-04-18 |
1386183135 | Jacquelyn Nelson | Counselor | 1845 S Dobson Rd, Suite 207, Mesa, AZ 85202-5661 | 2017-02-13 |
1215488028 | Travis Mowery | Naturopath | 1845 S Dobson Rd, Suite 111, Mesa, AZ 85202-5661 | 2016-10-17 |
1528422912 | Young Ju Lee | Naturopath | 1845 S Dobson Rd, Suite 111, Mesa, AZ 85202-5661 | 2016-04-12 |
1457720799 | Ronelle Holloway | Naturopath | 1845 S Dobson Rd, Suite 111, Mesa, AZ 85202-5661 | 2015-09-16 |
1316315526 | Wilfred Meeds | Naturopath | 1845 S Dobson Rd, Mesa, AZ 85202-5661 | 2015-09-03 |
1538543244 | Hay Counseling and Consulting, Inc. | Counselor | 1845 S Dobson Rd, Suite 207, Mesa, AZ 85202-5661 | 2015-07-13 |
1407252422 | Crystal Abbott | Naturopath | 1845 S Dobson Rd, Mesa, AZ 85202-5661 | 2014-11-18 |
1972847903 | Diane Park Md LLC | Counselor | 1845 S Dobson Rd, Suite 109, Mesa, AZ 85202-5661 | 2012-11-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
Find all providers in zip 85202 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
1073120390 | Harmony Behavioral Home LLC | Community/Behavioral Health | 5437 E Harmony Ave, Mesa, AZ 85206-6750 | 2020-09-30 |
1992311716 | Life Force Community Services | Community/Behavioral Health | 1237 S Val Vista Dr Ste 113, Mesa, AZ 85204-6401 | 2020-09-17 |
1326650417 | Fresh Start Rescource Center LLC | Community/Behavioral Health | 840 E Mckellips Rd Ste 109, Mesa, AZ 85203-9654 | 2020-08-19 |
1679182745 | A Nod To Veterans LLC | Community/Behavioral Health | 2436 S Lennox, Mesa, AZ 85209-6663 | 2020-07-24 |
1205452117 | Md Life Strategies, Inc | Community/Behavioral Health | 7435 E Main St, Mesa, AZ 85207-8337 | 2020-06-17 |
1346864147 | Rising Youth LLC | Community/Behavioral Health | 5948 E Fountain Cir, Mesa, AZ 85205-5513 | 2020-06-08 |
1225659121 | Amazing Hope LLC | Community/Behavioral Health | 7103 E Onza Ave, Mesa, AZ 85212-9811 | 2020-05-01 |
1912535337 | Harmony Family Services II | Community/Behavioral Health | 2812 N Norwalk Ste 103, Mesa, AZ 85215-1148 | 2020-03-31 |
1528692118 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N Mesa Dr Ste 116b, Mesa, AZ 85201-5974 | 2020-02-24 |
Find all providers in MESA |
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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.