MELODY CAROL FANCHER (NPI# 1164078689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164078689 |
| Entity Type | Individual |
| Full Name | MELODY CAROL FANCHER |
| Other Name | CAROL SHRUM FANCHER |
| Practice Address |
3295 Crawfordville Hwy Ste 11 Crawfordville FL 32327-3178 |
| Mailing Address |
177 Sand Pine Trl Crawfordville FL 32327-1254 |
| Practice Telephone | 6152436878 |
| Mailing Telephone | 6152436878 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMH18527 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3295 CRAWFORDVILLE HWY STE 11 |
| City | CRAWFORDVILLE |
| State | FL |
| Zip Code | 32327-3178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578083473 | Natasha K Gross | Private Vehicle | 90 Payne Street, Crawfordville, FL 32327 | 2017-06-21 |
| 1598204547 | Crawfordville Pharmacy Inc | Pharmacy | 2650 Crawfordville Hwy, Suite 1, Crawfordville, FL 32327 | 2017-02-22 |
| 1922455666 | Aidia Kirksey | Contractor | 114 Sand Pine Trl, Crawfordville, FL 32327 | 2016-05-23 |
| 1760809545 | Esteem Rehabilitation | Point of Service | 196 Lee Miller Rd, Crawfordville, FL 32327 | 2014-03-18 |
| 1205137114 | Guadalupe D Rodgers | Counselor | 103 Mayfair Drive, Crawfordville, FL 32327 | 2010-11-09 |
| 1164745352 | Gregory Eugene Gast | Counselor | 3295 Crawfordville Hwy., Suite 4, Crawfordville, FL 32327 | 2010-03-02 |
| 1568592897 | Heloise Murphy | Physical Therapist | 2887 Crawfordville Highway, Suite 3, Dubreja Plaza, Crawfordville, FL 32327 | 2007-03-06 |
| 1447344643 | Wal-mart Stores East, Lp | Technician/Technologist | 35 Mike Stewart Dr, Crawfordville, FL 32327 | 2006-10-03 |
| 1659485068 | Lori Christine Cate | Physical Therapist | 2887 Crawfordville Hwy., Unit 3, Crawfordville, FL 32327 | 2006-08-19 |
| 1417987140 | Nhc-op Lp | Home Health | 3034 Coastal Highway, Crawfordville, FL 32327 | 2006-07-05 |
| Find all providers in zip 32327 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770909939 | Anne Vinson | Counselor | 12 Ridgeway Ct, Crawfordville, FL 32327-2484 | 2014-03-12 |
| 1205137114 | Guadalupe D Rodgers | Counselor | 103 Mayfair Drive, Crawfordville, FL 32327 | 2010-11-09 |
| 1164745352 | Gregory Eugene Gast | Counselor | 3295 Crawfordville Hwy., Suite 4, Crawfordville, FL 32327 | 2010-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457161 | Jenna Grace Mallek Campos | Counselor | 13626 Phoenix Dr, Orlando, FL 32828-9338 | 2020-11-07 |
| 1295336089 | Resilience Behavioral Health LLC | Counselor | 3211 Calumet Dr, Orlando, FL 32810-2023 | 2020-11-06 |
| 1538760392 | Darcy Lynn Coleman | Counselor | 325 Se 28th Ter, Cape Coral, FL 33904-3416 | 2020-11-06 |
| 1407457203 | Marylon Larkins | Counselor | 1525 W Broadway St, Oviedo, FL 32765-6576 | 2020-11-06 |
| 1639770423 | Nickole Marguerite Wyse | Counselor | 7901 4th St N Ste 4000, St Petersburg, FL 33702-4305 | 2020-11-06 |
| 1275134066 | Hyacinth Anne Morgan | Counselor | 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 | 2020-11-06 |
| 1245831288 | John Lopez IIi | Counselor | 3024 Smith Ave, Bradenton, FL 34207-5558 | 2020-11-05 |
| 1326649435 | Taylor Shannon Wolfe | Counselor | 8312 Catria Ln, Lake Worth, FL 33467-6706 | 2020-11-04 |
| 1427659630 | Sherrie Wade | Counselor | 260 Ne Wavecrest Way, Boca Raton, FL 33432-4220 | 2020-11-04 |
| 1396346656 | Ariel K Heyliger St. Fleur | Counselor | 9104 Nw 39th St, Coral Springs, FL 33065-2421 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | CRAWFORDVILLE |
| Zip Code | 32327 |
Please comment or provide details below to improve the information on MELODY CAROL FANCHER.
| 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.