BEVERLY JUNE HICKS (NPI# 1336139302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336139302 |
Entity Type | Individual |
Full Name | BEVERLY JUNE HICKS |
Credential | M.D., LPC |
Practice Address |
901 Paverstone Dr Raleigh NC 27615-4710 |
Mailing Address |
901 Paverstone Dr Raleigh NC 27615-4708 |
Practice Telephone | 9198472197 |
Practice Fax Number | 9198467748 |
Mailing Telephone | 9198472197 |
Mailing Fax Number | 9198467748 |
Enumeration Date | 2005-10-21 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3377 | TX | Behavioral Health & Social Service Providers |
X | 101YP2500X |
Counselor Specialization: Professional |
2874 | NC | Behavioral Health & Social Service Providers |
X | 106H00000X | Marriage & Family Therapist | 003662-042571 | NC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174013924 | Beverly Jane Hicks | Nutritionist | 344 Court St, Huntsville, TN 37756-1404 | 2018-05-17 |
1649534322 | Beverly W Hicks | Behavioral Analyst | 378 Tabor Rd, Fort Valley, GA 31030-6024 | 2012-06-27 |
Street Address |
901 PAVERSTONE DR |
City | RALEIGH |
State | NC |
Zip Code | 27615-4710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669007860 | Kara Burke King | Social Worker | 901 Paverstone Dr, Raleigh, NC 27615-4710 | 2020-03-08 |
1487113353 | Clark Slagle | Psychologist | 901 Paverstone Dr, Raleigh, NC 27615-4710 | 2019-03-19 |
1538670104 | Laura Greene, Psy.d., Pllc | Psychologist | 901 Paverstone Dr, Raleigh, NC 27615-4710 | 2017-10-23 |
1750804290 | Molly Martucci | Social Worker | 901 Paverstone Dr, Raleigh, NC 27615-4710 | 2017-07-17 |
1902278864 | Hope Guy Panara | Psychologist | 901 Paverstone Dr, Suite 10, Raleigh, NC 27615-4710 | 2015-10-30 |
1558612036 | Ellen Douglas | Counselor | 901 Paverstone Dr, Raleigh, NC 27615-4710 | 2012-09-25 |
1215218078 | Anthony Andrew Delmedico | Marriage & Family Therapist | 901 Paverstone Dr, Suite 9, Raleigh, NC 27615-4710 | 2011-09-07 |
1457453581 | Philip A Lisk, Dds, Pa | Dentist | 901 Paverstone Dr, A, Raleigh, NC 27615-4710 | 2006-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
Find all providers in zip 27615 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205436730 | Joy Elise Chiles | Counselor | 8505 Mount Valley Ln, Raleigh, NC 27613-6931 | 2020-10-26 |
1669084406 | Battle Mental Health, Pllc | Counselor | 8311 Brier Creek Pkwy Ste 105-167, Raleigh, NC 27617-7328 | 2020-08-22 |
1093327561 | Danielle Curley | Counselor | 11030 Cayden Trl Apt 3h, Raleigh, NC 27614-7393 | 2020-08-17 |
1831716703 | Bright Chukwemeka Igwe | Counselor | 4909 Waters Edge Drive Suite 203, 4909 Waters Edge Dr. Suite 203, Raleigh, NC 27606 | 2020-06-26 |
1578109443 | Melissa Lancaster Mccurry | Counselor | 12201 Lockhart Ln, Raleigh, NC 27614-9406 | 2019-11-26 |
1215582432 | Emily Trapp | Counselor | 723 W Johnson St Ste 100, Raleigh, NC 27603-1244 | 2019-08-05 |
1841858875 | Barry Ray Wallace Jr. | Counselor | 2101 Garner Rd #107, Raleigh, NC 27610-3790 | 2019-06-04 |
1689130445 | Adewumi Gabriel Ojo | Counselor | 3204 Cotton Grove Run, Raleigh, NC 27610-6264 | 2019-02-18 |
1306310321 | Nakima Mechelle Morrison | Counselor | 5213 Chasteal Trl, Raleigh, NC 27610-6606 | 2019-01-12 |
1609347368 | Bailey's Innovation Group | Counselor | 4030 Wake Forest Rd Ste 300, Raleigh, NC 27609-6800 | 2018-12-06 |
Find all providers in RALEIGH |
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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.