MR. CHARLES EDWARD DIETZEL JR. (NPI# 1326163486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326163486 |
| Entity Type | Individual |
| Full Name | MR. CHARLES EDWARD DIETZEL JR. |
| Other Name | MR. CHARLES EDWARD DIETZEL JR. |
| Practice Address |
36 Hancock Ave Hiram ME 04041 |
| Mailing Address |
36 Handcoc Ave. Hiram ME 04041 |
| Practice Telephone | 2076258947 |
| Mailing Telephone | 2076258947 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
36 HANCOCK AVE |
| City | HIRAM |
| State | ME |
| Zip Code | 04041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699383315 | Tracy Flagg | Social Worker | Sacopee Valley Middle School, 137 South Hiram Rd, Hiram, ME 04041 | 2020-07-20 |
| 1114547676 | Barbara Jane Desousa | Home Health Aide | 86 Post Ridge, Hiram, ME 04041 | 2020-04-24 |
| 1639476393 | Daniel Pierce | Social Worker | 710 Pequawket Trail, West Baldwin, ME 04041 | 2011-02-16 |
| 1912110792 | Maine School Administrative District No 55 | Local Education Agency (LEA) | 213 So. Hiram Rd., Hiram, ME 04041 | 2007-05-08 |
| 1063443547 | Charlene Manchester Barton | Counselor | 19 River Road, Hiram, ME 04041 | 2006-07-05 |
| 1841256724 | Willow Lilith Whitehouse Briggs | Counselor | 19 River Road Box318, Hiram, Hiram, ME 04041 | 2006-04-21 |
| 1679076558 | Jenna Mehlhorn | Counselor | 137 S Hiram Rd, Hiram, ME 04041 | 2018-03-16 |
| 1821201609 | Maine School Administrative District No 55 | Day Training, Developmentally Disabled Services | 213 So. Hiram Rd., Hiram, ME 04041 | 2007-05-08 |
| 1053418426 | Joseph Rodman Drake Dekay | Family Medicine | 4 Sebago Road, Hiram, ME 04041-0089 | 2006-09-20 |
| 1710037783 | Maureen Smith | Midwife | 721 Notch Rd, Hiram, ME 04041-3345 | 2007-01-11 |
| Find all providers in zip 04041 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1184231599 | Joi Pearson | Counselor | 196 Trailside Way, Hiram, GA 30141-3271 | 2020-09-29 |
| 1285113183 | Legacy Counseling Centers | Counselor | 848 Hiram Acworth Hwy Bldg 100, Hiram, GA 30141-2286 | 2018-08-10 |
| 1215443718 | Obger Mercier | Counselor | 214 Darbys Run Dr, Hiram, GA 30141-3191 | 2017-12-19 |
| 1649720913 | Terry Samuels | Counselor | 107 Enterprise Path Ste 301, Hiram, GA 30141-2690 | 2016-10-10 |
| 1306203179 | Eden Parks | Counselor | 205 Enterprise Path, Hiram, GA 30141-2658 | 2016-01-25 |
| 1184098055 | Joseph Wanders | Counselor | 126 Enterprise Path Ste 201, Hiram, GA 30141-2654 | 2015-11-16 |
| 1831577980 | Vanessa H Bonaparte | Counselor | 107 Enterprise Path, Suite 305, Hiram, GA 30141-2689 | 2015-05-09 |
| 1932448099 | Grace Keely | Counselor | 4 Cross Pointe Way, Hiram, GA 30141-5481 | 2013-02-11 |
| 1548549983 | Kelly Shirlette Jenkins | Counselor | 203 Venture Path, Hiram, GA 30141-2681 | 2011-08-16 |
| Find all providers in HIRAM | ||||
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| 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.