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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 81-5150005 | 05 |
Street Address |
103 SURREY DR |
City | RUTHER GLEN |
State | VA |
Zip Code | 22546-1035 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659888717 | Mohamed Ibrahim | Dentist | 18010 Jefferson Davis Highway, Ruther Glen, VA 22546 | 2018-01-10 |
1891246237 | Urgent Care Travel, Inc | Clinic/Center | 23458 Cool Water Drive, Ruther Glenn, VA 22546 | 2016-10-20 |
1346423225 | Caroline Outpatient Program | Community/Behavioral Health | 7120 Conway Place, Ruther Glen, VA 22546 | 2007-12-13 |
1043275852 | Victoria E Grady | Internal Medicine | 8051 Prosperity Way Ste 100, Ruther Glen, VA 22546 | 2006-04-18 |
1578931911 | Right Price Construction | Durable Medical Equipment & Medical Supplies | 306 Burr Dr, Ruther Glen, VA 22546 | 2015-09-02 |
1588973614 | Jennifer Lynn Brown | Social Worker | 19254 Rogers Clark Blvd, Ruther Glen, VA 22546 | 2010-10-07 |
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 |
1821319567 | Dpmperillonrva LLC | Podiatrist | 347 Land Or Dr, Ruther Glen, VA 22546-1235 | 2010-06-17 |
Find all providers in zip 22546 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619576188 | Xenia Scullark | Counselor | 327 Powder Horn Dr, Ruther Glen, VA 22546-5064 | 2020-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215534284 | Open Hearts Christian Counseling | Counselor | 2530 Carriage Ln Apt 1d, Fredericksburg, VA 22401-7925 | 2020-10-02 |
1134738131 | Console, Comfort & Care LLC | Counselor | 711 Comstock St, Norfolk, VA 23502-4241 | 2020-07-26 |
1215545843 | Arllen Ade | Counselor | 3558 Clinton Ross Ct, Triangle, VA 22172-2220 | 2020-07-20 |
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 |
1649790254 | Thomas Whitaker | Counselor | 13669 Hornet Way Apt 402, Woodbridge, VA 22191-5232 | 2017-06-24 |
Find all providers with the same taxonomy |
City | RUTHER GLEN |
Zip Code | 22546 |
Please comment or provide details below to improve the information on ANTONIO O'NEIL CLINKSCALES.
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.