MRS. JEANETTE MIDDLE JORDAN-HUFFAM OFFICE (NPI# 1326657875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326657875 |
Entity Type | Individual |
Full Name | MRS. JEANETTE MIDDLE JORDAN-HUFFAM OFFICE |
Credential | LCMHC |
Practice Address |
3911 W Bent Grass Dr Fayetteville NC 28312-8791 |
Practice Telephone | 9103081641 |
Mailing Telephone | 9103081641 |
Enumeration Date | 2020-07-29 |
Last Update Date | 2020-07-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
148 | NC | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
821 | NC | Behavioral Health & Social Service Providers |
Street Address |
3911 W BENT GRASS DR |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28312-8791 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376185207 | Christine U Jones | Technician | 3801 Stedman Cedar Creek Rd, Fayetteville, NC 28312 | 2019-10-11 |
1497305890 | Stephanie Deshawn Cain | Technician | 1250 Colts Pride Dr, Fayetteville, NC 28312 | 2019-09-17 |
1477057545 | Accurate Sleep Diagnostic Center LLC | Clinic/Center | 4220 Locks Creek Church Road, Fayetteville, NC 28312 | 2018-03-22 |
1245739457 | Heather S Callihan | Home Health | 415 Old Vander Rd, Fayetteville, NC 28312 | 2018-02-03 |
1497088371 | Rainbow Pediatrics of Eastover | Pediatrics | 3361 Dunn Rd, Eastover, NC 28312 | 2009-09-10 |
1093947798 | Nuvision Home Care, Inc. | Home Health | 1549 River Road, Fayetteville, NC 28312 | 2009-08-13 |
1992724157 | Jactom Inc | Skilled Nursing Facility | 3532 Dunn Road, Fayetteville, NC 28312 | 2006-07-19 |
1134580442 | Elizabeth Boyle Kleinfelder | Nurse Practitioner | 3551 Dunn Rd, Eastover, NC 28312 | 2016-03-14 |
1629458369 | Mato Brown | Social Worker | 511 Middle Rd, Fayetteville, NC 28312 | 2015-06-08 |
1225109911 | William I Cross | Emergency Medicine | 2086 Tailwinds Rd, Fayetteville, NC 28312-5001 | 2006-11-13 |
Find all providers in zip 28312 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619583432 | Don Del-raye Jones | Counselor | 521 Rempstone Ln, Fayetteville, NC 28311-5501 | 2020-09-17 |
1023628278 | Quadiedra Amos | Counselor | 3675 Fallstaff Dr, Fayetteville, NC 28306-9079 | 2020-08-03 |
1699385963 | William Jones | Counselor | 4250 Clinton Rd Ste 102, Fayetteville, NC 28312-8517 | 2020-08-03 |
1952919573 | Bianca Thomas | Counselor | 2713 Lake Club Dr, Fayetteville, NC 28304-5349 | 2020-07-20 |
1962029546 | Deanna Dale Dunn | Counselor | 767 W North St Ste 112, Fayetteville, AR 72701-1865 | 2020-06-30 |
1053937490 | Balance Ground Counseling LLC | Counselor | 240 Lofty Eagle Ln, Fayetteville, GA 30214-3531 | 2020-06-22 |
1659994010 | Martanika Michelle Smith | Counselor | 351 Wagoner Dr Ste 105, Fayetteville, NC 28303-4608 | 2020-05-20 |
1477188985 | Qiana Tamieka Gatling | Counselor | 4417 Briton Cir, Fayetteville, NC 28314-2401 | 2020-03-04 |
1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
1194359182 | Meredith Leigh Kimbrough | Counselor | 31 E Center St Ste 210, Fayetteville, AR 72701-5391 | 2020-02-27 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28312 |
Please comment or provide details below to improve the information on MRS. JEANETTE MIDDLE JORDAN-HUFFAM OFFICE.
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.