LAKEISHA WARD (NPI# 1275146946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275146946 |
| Entity Type | Organization |
| Organization Name | LAKEISHA WARD |
| Practice Address |
2221 W Raleigh Blvd Ste 117 Rocky Mount NC 27803-2745 |
| Mailing Address |
617 Weathervane Way Rocky Mount NC 27803-8736 |
| Practice Telephone | 2522270833 |
| Practice Fax Number | 2528622788 |
| Mailing Telephone | 2523147503 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | LAKEISHA NICOLE WARD (OWNER) |
| Authorized Official Telephone | 2523147503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| The Gathering Place Wellness and Counseling Center | Doing Business As Name - Organization |
| Street Address |
2221 W RALEIGH BLVD STE 117 |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27803-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043615131 | Exigin Behavioral Health LLC | Counselor | 1105 Spring Forest Dr, Rocky Mount, NC 27803 | 2014-10-31 |
| 1649577180 | Jeffery Beal | Physical Therapist | 3936 Crosswinds Drive, Rocky Mount, NC 27803 | 2011-02-18 |
| 1083713283 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 824 West Raleigh Boulevard, Rocky Mount, NC 27803 | 2006-09-22 |
| 1013935113 | Spring Arbor of Rocky Mount | Assisted Living Facility | 1251 S. Winstead Ave., Rocky Mount, NC 27803 | 2006-07-17 |
| 1053386078 | William A Munn | Physician Assistant | 10589 East Nc 97, Rocky Mount, NC 27803 | 2006-02-22 |
| 1366749806 | Jeffrey Miller | Physical Therapist | 3936 Crosswinds Drive, Rocky Mount, NC 27803 | 2011-02-18 |
| 1821395369 | Rehab Revolution Inc. | Clinic/Center | 3936 Crosswinds Drive, Rocky Mount, NC 27803 | 2011-02-18 |
| 1053517029 | Family Care Partners of North Carolina, Pllc | Physician Assistant | 10589 East Nc 97, Rocky Mount, NC 27803 | 2007-06-26 |
| 1093897340 | Warren County Rescue | Ambulance | 123 S Grace St, Rocky Mount, NC 27803 | 2006-10-19 |
| 1659453900 | Broad Creek Ems | Ambulance | 123 S Grace St, Rocky Mount, NC 27803 | 2006-10-19 |
| Find all providers in zip 27803 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417599861 | Cynthia Ann Campbell | Counselor | 601 Tarboro St, Rocky Mount, NC 27801-5955 | 2019-10-16 |
| 1659936573 | Felix Morton Iv | Counselor | 726 Pennsylvania Ave, Rocky Mount, NC 27801-3448 | 2019-05-06 |
| 1275763542 | Reaching U Educational Center, LLC | Counselor | 901 Lancaster St, Rocky Mount, NC 27801-7339 | 2009-07-21 |
| 1457401549 | Port Human Services | Counselor | 860 Tiffany Blvd, Rocky Mount, NC 27804-1809 | 2007-01-11 |
| 1356363113 | Joan Saunders Durham | Counselor | 142a Woodridge Ct, Rocky Mount, NC 27804-2294 | 2006-07-24 |
| 1144862764 | Courtney Joyce Poage | Counselor | 370 Tanyard Rd, Rocky Mount, VA 24151-1554 | 2019-10-15 |
| 1447809348 | Taylor Kyle | Counselor | 370 Tanyard Rd, Rocky Mount, VA 24151-1554 | 2019-09-04 |
| 1942859848 | Lakita Ann Goins | Counselor | 370 Tanyard Rd, Rocky Mount, VA 24151-1554 | 2019-09-04 |
| 1174176218 | Sarah Marie Liston | Counselor | 300 S Main St, Rocky Mount, VA 24151-1711 | 2019-07-18 |
| 1073174769 | Jasmine Ariana Simmons | Counselor | 3208 Sunset Ave Ste B, Rocky Mount, NC 27804-3590 | 2019-06-24 |
| Find all providers in ROCKY MOUNT | ||||
| City | ROCKY MOUNT |
| Zip Code | 27803 |
Please comment or provide details below to improve the information on LAKEISHA WARD.
| 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.