MS. SANDRA ELIZABETH ANN MCINTOSH (NPI# 1174537393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174537393 |
Entity Type | Individual |
Full Name | MS. SANDRA ELIZABETH ANN MCINTOSH |
Credential | LPC/RPTS/LMFT |
Practice Address |
14801 Rydell Rd Apt 103 Centreville VA 20121-4471 |
Mailing Address |
Po Box 1568 Centreville VA 20122-8568 |
Practice Telephone | 7038159057 |
Practice Fax Number | 7038159057 |
Mailing Telephone | 7039437481 |
Mailing Fax Number | 7038159057 |
Enumeration Date | 2006-07-27 |
Last Update Date | 2020-06-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
0701003105 | VA | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | 0717001317 | VA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 010214793 | 05 |
Street Address |
14801 RYDELL RD APT 103 |
City | CENTREVILLE |
State | VA |
Zip Code | 20121-4471 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356906994 | Everyone Inc. | Durable Medical Equipment & Medical Supplies | 6362 James Harris Way, Centreville, VA 20121 | 2019-05-09 |
1154845139 | Dien Tu | Pharmacist | 6321 Powder Flask Ct., Centreville, VA 20121 | 2017-08-01 |
1053865337 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Highway, #109b, Centreville, VA 20121 | 2016-08-04 |
1265829808 | Trisha Yamamoto | Chiropractor | 14215 E. Centreville Square, Centreville, VA 20121 | 2015-04-21 |
1811305733 | Catherine Elizabeth Sims, LLC | Clinic/Center | 6705 Bay Valley Lane, Centreville, VA 20121 | 2014-07-23 |
1194138438 | All In A Day Senior Care Services.com | Home Health | 6913 Confederate Ridge Lane, Centerville, VA 20121 | 2014-06-04 |
1447519483 | James Hamilton | Occupational Therapy Assistant | 6220 William Mosby Dr, Centreville, VA 20121 | 2012-05-11 |
1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
1134426372 | One Stop Pharmacy Inc | Pharmacy | 13818-b Braddock Rd, Centreville, VA 20121 | 2011-02-24 |
1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
Find all providers in zip 20121 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821632431 | Jinse Kim | Counselor | 14631 Lee Hwy Ste 313, Centreville, VA 20121-5834 | 2019-11-06 |
1023675477 | Happy Healthy Healing Pllc | Counselor | 5675 Stone Rd., Suite 310, Centreville, VA 20120 | 2019-05-21 |
1013244151 | George Reginald Polk | Counselor | 5675 Stone Rd Ste 300, Centreville, VA 20120-1667 | 2009-11-11 |
1811142946 | Paula Therese Berchiatti | Counselor | 677a E. Main Street, Centreville, MI 49032 | 2008-11-17 |
1932398815 | Heather Nicole Decastro | Counselor | 377a East Main, Centreville, MI 49032 | 2007-10-17 |
1457562605 | Esther W. Green | Counselor | 14151 Lotus Ln Apt 12310, Centreville, VA 20120-6378 | 2007-05-26 |
1881759801 | Zeena Ellen Zeidberg | Counselor | 5675 Stone Road, Suite 210, Centreville, VA 20120-1667 | 2006-12-27 |
1396764130 | Richard A. Betts | Counselor | 14369 Stonewater Ct, Centreville, VA 20121-5731 | 2006-07-19 |
1467922708 | Laura Anne Lengyel | Counselor | 5900 Bond Ave, Centreville, IL 62207-2326 | 2018-11-29 |
1336660067 | Jasmine Appleton | Counselor | 13890 Braddock Rd Ste 312, Centreville, VA 20121 | 2017-07-03 |
Find all providers in CENTREVILLE |
City | CENTREVILLE |
Zip Code | 20121 |
Please comment or provide details below to improve the information on MS. SANDRA ELIZABETH ANN MCINTOSH.
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.