BRANDELYN JO AVANTS (NPI# 1346862364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346862364 |
Entity Type | Individual |
Full Name | BRANDELYN JO AVANTS |
Practice Address |
906 Northbrook Dr Davenport IA 52806-3730 |
Mailing Address |
2711 W 63rd St Davenport IA 52806-1647 |
Practice Telephone | 5632098124 |
Mailing Telephone | 5633881039 |
Enumeration Date | 2020-05-13 |
Last Update Date | 2020-05-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
906 NORTHBROOK DR |
City | DAVENPORT |
State | IA |
Zip Code | 52806-3730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912543257 | June Swain | Nurse Practitioner | Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 | 2019-11-21 |
1881055747 | Jace Carter | Chiropractor | 235 West 35th Street Suite 2d, Davenport, IA 52806 | 2016-03-18 |
1538468210 | Cody Krech | Dentist | 141 E 46th St, Davenport, IA 52806 | 2011-03-21 |
1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
1689902579 | Nicholas P. Carlson | Nurse Practitioner | 3801 Marguette Street, Suite 200, Davenport, IA 52806 | 2009-12-03 |
1295821114 | David Lee Botsko | Dentist | 2334 W. Kimberly Road, Davenport, IA 52806 | 2006-10-05 |
1598712903 | Select Specialty Hospital - Quad Cities Inc | Long Term Care Hospital | 1111 West Kimberly Road, Davenport, IA 52806 | 2006-05-30 |
1528030350 | Warren Wright | Occupational Therapist | 1008 W 35th St, Davenport, IA 52806 | 2006-02-06 |
1144291568 | Gerald Wallace Hess | Chiropractor | 2711 W 63rd St, Ste #1, Davenport, IA 52806 | 2006-02-01 |
1487642286 | Virginia Armstrong | Chiropractor | 4811 N Brady St Ste 1a, Davenport, IA 52806 | 2005-10-06 |
Find all providers in zip 52806 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124581848 | Lina Marcela Mendez-agudelo | Counselor | 300 Bridgewater Dr, Davenport, FL 33897-8805 | 2019-04-09 |
1669970844 | Aubrey Cartwright | Counselor | 1519 E Locust St, Davenport, IA 52803-3243 | 2018-01-23 |
1710416433 | Lisa Hannigan Carter | Counselor | 232 Village Ct, Davenport, FL 33896-5222 | 2017-06-06 |
1669918389 | Hector Armando Meneses IIi | Counselor | 1111 W 16th St, Davenport, IA 52804-3707 | 2017-01-19 |
1275088114 | Matthew John Martenson | Counselor | 2028 E 38th St Ste 4, Davenport, IA 52807-1168 | 2016-08-21 |
1023427804 | Tisha Albury | Counselor | 754 Rollins Dr, Davenport, FL 33837-7219 | 2014-08-06 |
1972814242 | Henry Milton Dugan Jr. | Counselor | 4800 Grand Ave Apt E205, Davenport, IA 52807-1038 | 2010-07-01 |
1972739951 | Stephanie Christine Littell | Counselor | 1211 Merriam St, Davenport, WA 99122-8654 | 2009-06-04 |
1215170352 | Jorge Texidor | Counselor | 1441 Lexington Ave, Davenport, FL 33837-1705 | 2009-04-18 |
1063010130 | Angela G Larson | Counselor | 1211 Merriam St, Davenport, WA 99122-8654 | 2020-10-12 |
Find all providers in DAVENPORT |
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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.