MYRACLE CLAY CLAY-BENNETT


Address: 2933 S Miami Blvd, Durham, NC 27703-8025
Phone: 7062514684

MYRACLE CLAY CLAY-BENNETT (NPI# 1326652710) 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) 1326652710
Entity Type Individual
Full Name MYRACLE CLAY CLAY-BENNETT
Practice Address 2933 S Miami Blvd
Durham
NC 27703-8025
Practice Telephone 7062514684
Mailing Telephone 9193583012
Enumeration Date 2020-09-02
Last Update Date 2020-09-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
NC Behavioral Health & Social Service Providers

Office Location

Street Address 2933 S MIAMI BLVD
City DURHAM
State NC
Zip Code 27703-8025

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NPI Name Taxonomy Address Enumeration
1285235218 Joseph Omalemigbo Abgateyiniro Durable Medical Equipment & Medical Supplies 1810 Shiva Court, Durham, NC 27703 2020-11-05
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1023598463 Impact Therapy Services Speech-Language Pathologist 6 Winnabow Court, Durham, NC 27703 2018-08-15
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1033621719 Duke University Preventive Medicine 4825 Creekstone Drive, Suite 105, Durham, NC 27703 2017-11-02
1023535564 Walgreen Co Durable Medical Equipment & Medical Supplies 3725 Wake Forest Hwy, Durham, NC 27703 2017-08-25
1487194171 Shivani L. Chudasama Social Worker 5475 Lumley Rd Ste 103, Durham, NC 27703 2017-03-01
1356886030 Rgh Enterprises, Inc. Durable Medical Equipment & Medical Supplies 4234 Surles Court, Suite 100, Durham, NC 27703 2017-01-04
1780032821 Victory Speech Therapy Services, Pllc Speech-Language Pathologist 1533 Ellis Rd., Apt J208, Durham, NC 27703 2016-05-31
1124422373 Helene Azimbi Fonebi Pharmacist 8 Gandhi Dr, Durham, NC 27703 2014-10-17
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376160218 Compass Family Therapy, Pllc Counselor 3326 Guess Rd Ste 207, Durham, NC 27705-2160 2020-06-26
1144857665 Jennifer Saucier Simmons Counselor 212 Maiden Ln, Durham, CT 06422-2017 2020-03-25
1902457328 Natalie Haskins Parmenter Counselor 5825 Sandstone Dr, Durham, NC 27713-1925 2019-09-26
1043780778 Jessica Ann Revels Counselor 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 2018-11-26
1558830125 Michael Brown Counselor 1502 W Nc-54, Suite 505, Durham, NC 27707 2018-11-13
1205314390 Ashley Danielle Gilmore Counselor 48 Intuition Cir, Durham, NC 27705-2881 2018-08-01
1477060606 Benjamin Christian Willcott Counselor 2612 N Roxboro St, Durham, NC 27704-4350 2018-01-09
1851842694 Bull City Psychotherapy, Pllc Counselor 1816 Front St Ste 250, Durham, NC 27705-2598 2016-10-17
1730632506 Selena Waite Counselor 2309 Nebo St, Durham, NC 27707-4231 2016-07-28
1790156735 Charlie Edwards Baldwin Counselor 6 W Bayberry Ct, Durham, NC 27713-9437 2015-10-16
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Competitor

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City DURHAM
Zip Code 27703

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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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