KATRINA SHAUNAY BROWN HARRELL (NPI# 1215590906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215590906 |
Entity Type | Individual |
Full Name | KATRINA SHAUNAY BROWN HARRELL |
Credential | LPC |
Practice Address |
14240 N 43rd Ave Glendale AZ 85306-4511 |
Mailing Address |
Po Box 2968 Peoria AZ 85380-2968 |
Practice Telephone | 6028668850 |
Mailing Telephone | 4802029369 |
Enumeration Date | 2019-04-17 |
Last Update Date | 2020-03-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
LAC-16356 | AZ | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-18784 | AZ | Behavioral Health & Social Service Providers |
Street Address |
14240 N 43RD AVE |
City | GLENDALE |
State | AZ |
Zip Code | 85306-4511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598081861 | David Rusty Woods | Behavioral Analyst | 14240 N 43rd Ave, Glendale, AZ 85306-4511 | 2010-04-12 |
1245886415 | Crossroads, Inc Pure Heart Counseling Center | Substance Abuse Rehabilitation Facility | 14240 N 43rd Ave, Glendale, AZ 85306-4511 | 2019-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
Find all providers in zip 85306 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467066027 | Michelle Kayla Williams | Counselor | 7121 W Bell Rd # 115, Glendale, AZ 85308-8555 | 2020-09-01 |
1083228613 | Rosalie Salazar | Counselor | 17505 N 79th Ave Ste 311, Glendale, AZ 85308-8730 | 2020-09-01 |
1225675820 | New Way Counseling and Consulting | Counselor | 17505 N 79th Ave Ste D-213, Glendale, AZ 85308-8725 | 2019-12-03 |
1457994014 | Jeremy Shoemaker | Counselor | 5546 W Desert Cove Ave, Glendale, AZ 85304-3841 | 2019-10-25 |
1033764410 | Marie Chuldzhyan | Counselor | 730 S Central Ave Ste 203, Glendale, CA 91204-4342 | 2019-08-02 |
1861050817 | Georgette Mcnally | Counselor | 6655 W Glendale Ave, Glendale, AZ 85301-2358 | 2019-06-04 |
1497312318 | Tawny Nicole White Runnels | Counselor | 6635 W Happy Valley Rd Ste A104-148, Glendale, AZ 85310-2609 | 2019-05-27 |
1336706944 | Kathryn Mcclearn | Counselor | 19201 N 45th Dr, Glendale, AZ 85308-5415 | 2019-05-20 |
1700341005 | Diana Steiner | Counselor | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-01-31 |
1861986200 | Pamela Morgan | Counselor | 1220 Oak Circle Dr, Glendale, CA 91208-1106 | 2018-06-19 |
Find all providers in GLENDALE |
Please comment or provide details below to improve the information on KATRINA SHAUNAY BROWN HARRELL.
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.