DAVID DAUGHERTY (NPI# 1225402647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225402647 |
| Entity Type | Individual |
| Full Name | DAVID DAUGHERTY |
| Credential | RMFTI |
| Practice Address |
1903 Island Walk Way Fernandina Beach FL 32034-4797 |
| Practice Telephone | 9042770027 |
| Practice Fax Number | 9048676261 |
| Mailing Telephone | (904) 277-0027 |
| Mailing Fax Number | 4078676261 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2017-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | FL | Behavioral Health & Social Service Providers | |
| N | 106H00000X | Marriage & Family Therapist | I2278 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477677078 | David Shoff Daugherty | Dentist | 9660 Rt #19, Houghton, NY 14744-0037 | 2007-03-19 |
| 1679575344 | David Lee Daugherty | Orthopaedic Surgery | 3905 Waring Rd, Oceanside, CA 92056-4405 | 2005-08-12 |
| 1457621021 | David Daugherty | Pharmacist | 6314 N 9th Ave, Pensacola, FL 32504-7320 | 2012-01-12 |
| 1780691584 | David D Daugherty | Dentist | 5104 S Field St, Unit A, Littleton, CO 80123-7308 | 2006-08-02 |
| 1689648214 | David Alan Daugherty | Physician Assistant | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2006-02-13 |
| 1295711604 | David R Daugherty | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-16 |
| Street Address |
1903 ISLAND WALK WAY |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-4797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811048952 | Lisa Ann Holloway | Counselor | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2007-01-16 |
| 1528546553 | Heather Nicole Kimsey | Social Worker | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2018-08-01 |
| 1073091005 | Patrick M. Herwig | Counselor | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2018-08-01 |
| 1700364742 | Jenna Lynn Lamont | Social Worker | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2018-08-01 |
| 1730688995 | Tina Adrianna Scannell | Counselor | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2018-02-02 |
| 1275058737 | Pauline Becton Gregory | Psychologist | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2017-08-07 |
| 1023531829 | Tracy Alloway | Psychologist | 1903 Island Walk Way, Fernandina Beach, FL 32034 | 2017-07-24 |
| 1073048732 | Jessica Nease White | Psychologist | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2017-05-01 |
| 1952836934 | Janet Grammel | Counselor | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2017-04-27 |
| 1922551696 | Gabriella Leon | Social Worker | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2016-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548365 | New Leaf Therapy, LLC | Marriage & Family Therapist | 2331 Nw 69th Ct, Fort Lauderdale, FL 33309-1438 | 2020-11-05 |
| 1114528460 | Matthew Edward Winkles | Marriage & Family Therapist | 1215 E Robinson St, Orlando, FL 32801-2115 | 2020-11-03 |
| 1114526670 | Westside Therapy | Marriage & Family Therapist | 4313 Golfers Cir E, Palm Beach Gardens, FL 33410-4609 | 2020-10-25 |
| 1356940811 | Alexandra Weisz | Marriage & Family Therapist | 3451 Ne 1st Ave Apt M201, Miami, FL 33137-4052 | 2020-10-25 |
| 1093314692 | Rothschild Counseling and Consulting, LLC | Marriage & Family Therapist | 820 E. Park Ave, Suite F 100, Tallahassee, FL 32301 | 2020-10-23 |
| 1831797729 | Becky Aaland | Marriage & Family Therapist | 600 Starkey Rd Apt 1307, Largo, FL 33771-2852 | 2020-10-13 |
| 1275149148 | Ebony Blue-fields | Marriage & Family Therapist | 2933 Nw 170th St, Miami Gardens, FL 33056-4323 | 2020-09-16 |
| 1003420118 | Gisela Karina Ludman Rojzman | Marriage & Family Therapist | 2542 Ne 206th Ter, Miami, FL 33180-1347 | 2020-09-04 |
| 1881208304 | Zuwania Lynette Smith | Marriage & Family Therapist | 2312 Mayo St, Hollywood, FL 33020-6240 | 2020-09-02 |
| 1699388892 | Damon Pourtahmaseb-sasi | Marriage & Family Therapist | 761 Ne 199th St Apt 204, Miami, FL 33179-3067 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
Please comment or provide details below to improve the information on DAVID DAUGHERTY.
| 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.