KERVINS CLEMENT (NPI# 1336778497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336778497 |
| Entity Type | Individual |
| Full Name | KERVINS CLEMENT |
| Credential | LCMHCAS |
| Practice Address |
6614 Shallowford Rd Ste 250 Lewisville NC 27023-9305 |
| Mailing Address |
1547 New Garden Rd Apt 2h Greensboro NC 27410-1550 |
| Practice Telephone | 3369450137 |
| Practice Fax Number | 3369469084 |
| Mailing Telephone | 2393242837 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
26212 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
A15687 | NC | Behavioral Health & Social Service Providers |
| Street Address |
6614 SHALLOWFORD RD STE 250 |
| City | LEWISVILLE |
| State | NC |
| Zip Code | 27023-9305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073025557 | Arianne J'nae Broadnax | Counselor | 6614 Shallowford Rd Ste 250, Lewisville, NC 27023-9305 | 2017-10-24 |
| 1316421035 | Gabriella Drouillard-moser | Counselor | 6614 Shallowford Rd Ste 250, Lewisville, NC 27023-9305 | 2018-09-18 |
| 1568941326 | Antoine J Charles | Counselor | 6614 Shallowford Rd Ste 250, Lewisville, NC 27023-9305 | 2018-08-11 |
| 1881186211 | Robyn Noftle | Social Worker | 6614 Shallowford Rd Ste 250, Lewisville, NC 27023-9305 | 2018-06-01 |
| 1619482403 | Emily Compton | Counselor | 6614 Shallowford Rd Ste 250, Lewisville, NC 27023-9305 | 2017-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
| 1306127527 | Gohar Karami | Clinical Nurse Specialist | 200 Shallowford Reserve Dr #303, Lewisville, NC 27023 | 2011-09-01 |
| 1013107259 | Lewisville Optical Inc | Durable Medical Equipment & Medical Supplies | 6758 Shallowford Road, Lewisville, NC 27023 | 2007-07-25 |
| 1013112960 | Patrick Paul Welch | Counselor | 5041 Styers Ferry Rd, Lewisville, NC 27023 | 2007-06-20 |
| 1881736551 | Kathleen Diane Morin | Speech-Language Pathologist | 8800 Buckey Court, Lewisville, NC 27023 | 2007-02-12 |
| 1396836755 | Connie Lynn Marie Bigwood | Physical Therapist | 765 Manarda Circle, Lewisville, NC 27023 | 2006-09-28 |
| 1831272087 | Christopher Culley | Physician Assistant | 4622 Country Club Road, Suite 180, Winston-salem, NC 27023-3770 | 2006-10-23 |
| 1710353107 | Vanessa Fitzgerald | Peer Specialist | 423 Brookway West Dr, Lewisville, NC 27023-7602 | 2015-08-19 |
| 1497103451 | Frank Barron | Counselor | 1035 Kensford Dr, Lewisville, NC 27023-7635 | 2016-06-01 |
| 1144324591 | Yuegang Chen | Physician Assistant | 1052 Feldspa Ln., Lewisville, NC 27023-7639 | 2006-09-07 |
| Find all providers in zip 27023 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063043743 | Crystal Chang-carter | Counselor | 195 E Round Grove Rd Apt 2221, Lewisville, TX 75067-3846 | 2020-01-30 |
| 1508422577 | Leticia Anne Garceau | Counselor | 290 W Lake Park Rd, Lewisville, TX 75057-4090 | 2019-05-15 |
| 1265096820 | Sharon Kennete Cager | Counselor | 850 Leora Ln Apt 2218, Lewisville, TX 75056-4672 | 2019-04-29 |
| 1548795537 | Michelle Hemm | Counselor | 1903 Wild Horse Corral, Lewisville, TX 75067-5533 | 2017-04-27 |
| 1093257412 | Lauren Rigsby | Counselor | 105 Kathryn Dr Ste D, Lewisville, TX 75067-4200 | 2016-11-16 |
| 1679015267 | Virginia Papen | Counselor | 1220 Winston Dr, Lewisville, TX 75077-3739 | 2016-11-14 |
| 1275080897 | Trinity Counseling | Counselor | 2001 Woven Trail, Lewisville, TX 75067 | 2016-09-01 |
| 1821435082 | Tamara Mcfarland | Counselor | 860 Hebron Pkwy Ste 803, Lewisville, TX 75057-5145 | 2013-05-29 |
| 1194074377 | Cheryl Ann Rayl | Counselor | 401 E. Corporate Drive, Ste. 100, Lewisville, TX 75057 | 2012-09-05 |
| 1710184676 | Breana J Bohannan | Counselor | 560 W Main St Ste 203, Lewisville, TX 75057 | 2007-07-02 |
| Find all providers in LEWISVILLE | ||||
| City | LEWISVILLE |
| Zip Code | 27023 |
Please comment or provide details below to improve the information on KERVINS CLEMENT.
| 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.