ANTONIO O'NEIL CLINKSCALES


Address: 103 Surrey Dr, Ruther Glen, VA 22546-1035
Phone: 8049947998

ANTONIO O'NEIL CLINKSCALES (NPI# 1184182719) 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) 1184182719
Entity Type Individual
Full Name ANTONIO O'NEIL CLINKSCALES
Practice Address 103 Surrey Dr
Ruther Glen
VA 22546-1035
Practice Telephone 8049947998
Mailing Telephone 8049947998
Enumeration Date 2019-03-02
Last Update Date 2019-03-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 81-5150005 05

Office Location

Street Address 103 SURREY DR
City RUTHER GLEN
State VA
Zip Code 22546-1035

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1710293477 Nancy Christine Love I Social Worker 19254 Rogers Clark Blvd, Ruther Glen, VA 22546 2010-08-19
1942548912 Nicole Rich Technician 1004 Lake Heritage Dr, Ruther Glen, VA 22546-1054 2013-01-24
1396063855 David Joseph Perillo Podiatrist 347 Land Or Dr, Ruther Glen, VA 22546-1235 2010-05-08
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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619576188 Xenia Scullark Counselor 327 Powder Horn Dr, Ruther Glen, VA 22546-5064 2020-10-25

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1134738131 Console, Comfort & Care LLC Counselor 711 Comstock St, Norfolk, VA 23502-4241 2020-07-26
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1407319643 Scot Mckenzie Counselor 725 Corner Rd, Java, VA 24565-4704 2019-04-12
1609334275 Laura Beth Olliff Counselor 12000 Wyndham Lake Dr Ste B, Glen Allen, VA 23059-7072 2019-03-03
1326510397 Elizabeth Parham Counselor 1600 Forestdale Dr, North Chesterfield, VA 23235-5645 2018-12-31
1629563606 Darren Crenshaw Counselor 101 E Franklin St Ste B, Richmond, VA 23219-2107 2018-06-22
1770090169 Angela S Buckner Counselor 1818 Centre Ave Nw, Roanoke, VA 24017-5534 2018-01-07
1447776653 David W Carlisle Counselor 5372 Lake Saponi Ter, Barboursville, VA 22923-1506 2017-08-18
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Competitor

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City RUTHER GLEN
Zip Code 22546

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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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