MRS. LATEASHA MCMULLEN


Address: 636 Signal Hill Drive Ext, Statesville, NC 28625
Phone: 7049781140

MRS. LATEASHA MCMULLEN (NPI# 1306329024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306329024
Entity Type Individual
Full Name MRS. LATEASHA MCMULLEN
Practice Address 636 Signal Hill Drive Ext
Statesville
NC 28625
Mailing Address 515 Clanton Rd
Charlotte
NC 28217-1309
Practice Telephone 7049781140
Enumeration Date 2018-09-09
Last Update Date 2019-01-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
NC Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5107 Monroe Rd, Charlotte, NC 282057870 7043343170

Office Location

Street Address 636 SIGNAL HILL DRIVE EXT
City STATESVILLE
State NC
Zip Code 28625

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043236847 Erin Langdon Mcadams Counselor 636 Signal Hill Drive Ext, Statesville, NC 28625-4774 2006-07-14
1083221758 Lyricist Dior Cotton Counselor 636 Signal Hill Drive Ext, Statesville, NC 28625-4774 2020-09-28
1295346948 Latrice Nicole Partee Social Worker 636 Signal Hill Drive Ext, Statesville, NC 28625-4774 2020-08-14
1578058236 Brittany Calhoun Social Worker 636 Signal Hill Drive Ext, Statesville, NC 28625-4774 2018-06-26
1093166746 Jessica Jones Counselor 636 Signal Hill Drive Ext, Statesville, NC 28625-4774 2016-06-23
1154768372 Patricia Ann Bunch Counselor 636 Signal Hill Drive Ext, Statesville, NC 28625-4774 2013-05-29
1972842714 Julie Barnett Licensed Practical Nurse 636 Signal Hill Drive Ext, Statesville, NC 28625-4774 2013-02-13
1780923524 Angela Minor Licensed Practical Nurse 636 Signal Hill Drive Ext, Statesville, NC 28625-4774 2013-02-13
1609115443 Yalonda Trinace England Licensed Practical Nurse 636 Signal Hill Drive Ext, Statesville, NC 28625-4774 2013-02-13
1598003394 Susan Blackwelder Haynes Counselor 636 Signal Hill Drive Ext, Statesville, NC 28625-4774 2013-01-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730714163 Sandra Lourdes Mayta Counselor 1450 Fern Creek Drive, Statesville, NC 28625 2020-03-05
1023643582 Youngchi Chang Dds Pllc Dentist 964 Glenway Ave Ste A, Statesville, NC 28625 2020-03-05
1538799200 Nicole-marie Blischak Dentist 964 Glenway Dr, Ste A, Statesville, NC 28625 2020-01-22
1013575257 Sherry Neilson Registered Nurse 524 Signal Hill Rd, Statesville, NC 28625 2019-06-03
1770904328 Elinor Kyle Tyner Counselor 1206 Museum Road, Statesville, NC 28625 2013-12-30
1982031001 Tamiko Bradley Counselor 524 Signal Hill Dr Ext, Statesville, NC 28625 2013-10-03
1487932505 Nicole Weisner Winecoff Advanced Practice Midwife 1420 Fern Creek Drive, Statesville, NC 28625 2011-07-22
1538461967 Bethany J Sprague Nurse Practitioner 2632 Fines Creek Dr, Statesville, NC 28625 2010-11-17
1477789147 Greenbriar Primary Care, Pa Nurse Practitioner 308-c Mocksville Highway, Statesville, NC 28625 2009-06-08
1619122538 Phasebdevelopment Substance Abuse Rehabilitation Facility 113 Bethany Rd, Statesville, NC 28625 2008-11-19
Find all providers in zip 28625

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083155154 Thea Wooten Counselor 612 Signal Hill Drive Ext, Statesville, NC 28625-4353 2017-03-09
1417368135 Edward Curlee Counselor 211 S Center St Ste 419, Statesville, NC 28677-5873 2014-05-15
1104163625 Shadese Lisa Griffith-mcclellan Counselor 1033 Phillips Ln, Statesville, NC 28625-4747 2013-01-04
1033393699 James Michael Baker Counselor 318 Turnersburg Hwy # 21, Statesville, NC 28625-2798 2007-12-19
1669690186 Kevin Raymond Denny Counselor 119 W Water St Ste C, Statesville, NC 28677-5282 2007-04-22
1043236847 Erin Langdon Mcadams Counselor 636 Signal Hill Drive Ext, Statesville, NC 28625-4774 2006-07-14
1083221758 Lyricist Dior Cotton Counselor 636 Signal Hill Drive Ext, Statesville, NC 28625-4774 2020-09-28
1396377057 Paula D Gabriel Counselor 536 Signal Hill Drive Ext, Statesville, NC 28625-4391 2020-02-10
1376194191 Anna Hines Counselor 518 Signal Hill Drive Ext, Statesville, NC 28625-4391 2019-09-23
1457900557 Deborah Anne Kurtz Counselor 536 Signal Hill Drive Ext, Statesville, NC 28625-4391 2019-09-11
Find all providers in STATESVILLE

Competitor

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City STATESVILLE
Zip Code 28625

Improve Information

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Dataset Information

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.

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