MR. KEANE QUANTAZE SAULS SR. (NPI# 1255737334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255737334 |
Entity Type | Individual |
Full Name | MR. KEANE QUANTAZE SAULS SR. |
Other Name | MR. KEANE QUANTAZE SAULS SR. |
Credential | CSAC, LCAS-A |
Practice Address |
1709 Centre St W Wilson NC 27893-2781 |
Practice Telephone | 9198015028 |
Mailing Telephone | 9198015028 |
Enumeration Date | 2014-11-17 |
Last Update Date | 2014-11-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13875 | NC | Behavioral Health & Social Service Providers |
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
20283 | NC | Behavioral Health & Social Service Providers |
Street Address |
1709 CENTRE ST W |
City | WILSON |
State | NC |
Zip Code | 27893-2781 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
Find all providers in zip 27893 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346841384 | Karen Yvette Johnson | Counselor | 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 | 2020-11-05 |
1902327109 | Lamont Zebediah Barnett | Counselor | 3904 Airport Drive, Wilson, NC 27896 | 2017-06-28 |
1508303959 | Karlesia Tiara Montague | Counselor | 3701 Nash St Nw, Wilson, NC 27896-1127 | 2017-01-24 |
1578014718 | Kristy Kaye Rowland | Counselor | 3707 Marion Court N, Wilson, NC 27896 | 2016-10-24 |
1649640046 | Isaac Everette | Counselor | 618 Tarboro St E, Wilson, NC 27893-4050 | 2015-09-29 |
1801224241 | Kairashia Boyce Rasberry | Counselor | 2506 Nash St N Unit B, Wilson, NC 27896-1393 | 2013-10-22 |
1952669426 | Anna Godwin | Counselor | 2407 Horton Blvd Sw Apt 1, Wilson, NC 27893-4477 | 2012-05-02 |
1194032763 | Sandra Ann Grace | Counselor | 3475 Airport Blvd Nw, Ste. G, Wilson, NC 27896-8687 | 2010-09-02 |
1164743662 | Michelle C Smith | Counselor | 3709 Nash St Nw, Wilson, NC 27896-1127 | 2010-06-18 |
1861650376 | Pamela Collie Thomas | Counselor | 101 Brentwood Center Ln N, Wilson, NC 27896-1710 | 2008-05-30 |
Find all providers in WILSON |
Please comment or provide details below to improve the information on MR. KEANE QUANTAZE SAULS SR..
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.