MIKEL-ANNE DEVINE


Address: 182 Sw Academy St, Dallas, OR 97338-1996
Phone: 5036239289

MIKEL-ANNE DEVINE (NPI# 1174170187) 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) 1174170187
Entity Type Individual
Full Name MIKEL-ANNE DEVINE
Credential CADC I
Practice Address 182 Sw Academy St
Dallas
OR 97338-1996
Practice Telephone 5036239289
Practice Fax Number 5038311726
Mailing Telephone 5036239289
Enumeration Date 2019-08-23
Last Update Date 2020-04-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
7830695 OR Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
960 Liberty St Se Ste 120, Salem, OR 973024165 5035882804 5033716743

Office Location

Street Address 182 SW ACADEMY ST
City DALLAS
State OR
Zip Code 97338-1996

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841308632 Alfredo Jose Soto Psychiatry & Neurology 182 Sw Academy St, Suite 30, Dallas, OR 97338-1922 2006-08-29
1528669918 Helen Canchola Martinez Counselor 182 Sw Academy St, Dallas, OR 97338-1996 2020-11-03
1013525542 Zachary Beeler Counselor 182 Sw Academy St, Dallas, OR 97338-1996 2020-07-21
1376175398 Theresa Ann Kollars Counselor 182 Sw Academy St, Dallas, OR 97338-1996 2020-02-07
1346883071 Heather Grandis Counselor 182 Sw Academy St, Dallas, OR 97338-1996 2019-10-25
1154963320 Tori A Geter Counselor 182 Sw Academy St, Dallas, OR 97338-1996 2019-10-09
1801437231 Maria Ross Student in an Organized Health Care Education/Training Program 182 Sw Academy St, Dallas, OR 97338-1996 2019-10-07
1144871096 Kayli Peterson Counselor 182 Sw Academy St, Dallas, OR 97338-1996 2019-09-23
1699320440 Kelli Diane Bennett Counselor 182 Sw Academy St, Dallas, OR 97338-1996 2019-08-08
1487216404 Chi Kindig Counselor 182 Sw Academy St, Dallas, OR 97338-1996 2019-06-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164932042 Stephanie Marie Renfro Massage Therapist 289 E Ellendale Ave #601, Dallas, OR 97338 2017-10-05
1588185953 Herbert Starr Woodward IIi Dentist 201 Se Washington St, Dallas, OR 97338 2017-07-06
1851708077 David Mooso Pharmacist 321 Nw Kings Valley Highway, Dallas, OR 97338 2014-07-21
1841615556 Leslie Lytle Counselor 1020 Sw Maple St., Dallas, OR 97338 2014-03-04
1205265493 Chung-fan Ni Counselor 182 S. W. Academy St., Academy Building, Dallas, OR 97338 2013-11-07
1215204300 Ron Fritz Counselor 239 E. Ellendale, Suite 602, Dallas, OR 97338 2011-11-17
1235420167 Deborah Kennedy Counselor 527 Ne Fern Ave, Dallas, OR 97338 2011-04-26
1821229774 Chelsea Ruhoff Lee Physician Assistant 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 2009-07-27
1013128560 Larry J Vuylsteke Social Worker 182 S.w. Academy, Dallas, OR 97338 2007-05-25
1093926123 Justin W Reed Counselor Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 2007-05-24
Find all providers in zip 97338

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417564683 Solutions Mental Health, Pllc Counselor 13500 Midway Rd Ste 400, Dallas, TX 75244-5155 2020-09-30
1588284848 Prime Counseling Counselor 13140 Coit Rd Ste 215, Dallas, TX 75240-5786 2020-04-16
1174157093 Stephanie Grogan Counselor 12800 Hillcrest Rd Ste A103, Dallas, TX 75230-1524 2020-02-29
1982236014 Shannon Christine O'connor Counselor 3838 Rawlins St Apt 313, Dallas, TX 75219-4250 2020-02-06
1215576574 Mary Kemp Tabor Counselor 14114 Dallas Pkwy Ste 245, Dallas, TX 75254-1331 2020-01-03
1962048710 Roshonda Guest Counselor 529 W. Commerce, 1414, Dallas, TX 75208 2019-11-26
1104469824 Amber Christine Wrye Counselor 5433 Alpha Rd, Dallas, TX 75240 2019-10-25
1679116909 Origins Counseling LLC Counselor 12810 Hillcrest Rd Ste B223, Dallas, TX 75230-1525 2019-10-18
1225679665 Katherine Foutz Counselor 6301 Gaston Ave Ste 730, Dallas, TX 75214-6296 2019-10-07
1831730910 Christopher Paul Logan Counselor 10588 Stone Canyon Rd Apt 309, Dallas, TX 75230-4419 2019-09-30
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 97338

Improve Information

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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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