MR. JERRY WAYNE GUY JR.


Address: 515 Clanton Rd, Charlotte, NC 28217-1309
Phone: 7043329001

MR. JERRY WAYNE GUY JR. (NPI# 1356711246) 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) 1356711246
Entity Type Individual
Full Name MR. JERRY WAYNE GUY JR.
Credential LCASA
Practice Address 515 Clanton Rd
Charlotte
NC 28217-1309
Practice Telephone 7043329001
Practice Fax Number 7042954937
Mailing Telephone 7043329001
Mailing Fax Number 7042954937
Enumeration Date 2015-10-05
Last Update Date 2015-10-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
21555 NC Behavioral Health & Social Service Providers

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Office Location

Street Address 515 CLANTON RD
City CHARLOTTE
State NC
Zip Code 28217-1309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437167673 Mcleod Addictive Disease Center Inc Community/Behavioral Health 515 Clanton Rd, Charlotte, NC 28217-1309 2006-08-03
1073110623 Jessica Easley Social Worker 515 Clanton Rd, Charlotte, NC 28217-1309 2020-10-07
1659983096 Katherine Louise Foster Social Worker 515 Clanton Rd, Charlotte, NC 28217-1309 2020-08-18
1962049361 Dejah Alston Social Worker 515 Clanton Rd, Charlotte, NC 28217-1309 2019-12-04
1437700176 Joshua Vincent Zummo Counselor 515 Clanton Rd, Charlotte, NC 28217-1309 2019-09-24
1386297117 Erica O Salter Counselor 515 Clanton Rd, Charlotte, NC 28217-1309 2019-07-21
1144872524 Courtney Shepherd Social Worker 515 Clanton Rd, Charlotte, NC 28217-1309 2019-07-15
1720567910 Cheryl Johnson-flemming Social Worker 515 Clanton Rd, Charlotte, NC 28217-1309 2018-08-09
1184110736 Richard Longga Bower Social Worker 515 Clanton Rd, Charlotte, NC 28217-1309 2018-07-06
1366938078 Glenn Epstein Counselor 515 Clanton Rd, Charlotte, NC 28217-1309 2018-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962017798 Kelby Rae Hurlocker Specialist/Technologist 500 Center Park Dr, Charlotte, NC 28217 2020-09-09
1356967749 Optum Pharmacy 701, LLC Pharmacy 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 2020-06-22
1598302937 Brigit Boyce Occupational Therapist 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 2019-12-04
1275016933 Zarah Pulfrey Physician Assistant Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 2018-09-10
1972085918 Dynamic Health Medical Group Pllc Pain Medicine 4705 South Blvd, Charlotte, NC 28217 2018-09-06
1184102048 Charday Caple Counselor 735 Echodale Dr, Charlotte, NC 28217 2018-08-02
1326532250 Dupont Livery LLC Non-emergency Medical Transport (VAN) 4200 S Tryon St, Charlotte, NC 28217 2018-06-14
1891215232 Lakesha Shamise Welch Counselor 5709 South Hampton R., Charlotte, NC 28217 2017-06-27
1245768282 Allison Harris Lafone Counselor 515 Clanton Road, Charlotte, NC 28217 2017-06-02
1619416906 Charlie Randolph Taylor Jr. Counselor 517 Clanton Road, Charlotte, NC 28217 2017-02-20
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619574829 Steve Hanna Interventions Counselor 8101 Providence Court Ln Apt 101, Charlotte, NC 28270-2385 2020-10-01
1164036976 Diamond Corbin Counselor 3553 N Sharon Amity Rd Ste 200, Charlotte, NC 28205-8992 2020-08-31
1366053035 Triumph Therapeutic Services Pllc Counselor 620 Parkaire Ln Apt 1024, Charlotte, NC 28217-2492 2020-08-14
1407472582 Sarah Ann Grant Counselor 1617 Fountain Vw, Charlotte, NC 28203-5829 2020-06-24
1164046728 Kevin Thomas Egroff Counselor 2134 Augusta St, Charlotte, NC 28216-4603 2020-05-29
1861039729 No Bounds Care Inc of Nc Counselor 615 E 6th St Ste 102, Charlotte, NC 28202-2918 2019-12-10
1174168850 Stress Management, LLC Counselor 8915 Legacy Park Dr Apt C, Charlotte, NC 28269-9622 2019-11-17
1154964062 Setfreesoldiers, Inc Counselor 4900 Providence Rd, Charlotte, NC 28226-5848 2019-10-23
1083256762 Speak Life Counseling Services, Pllc Counselor 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 2019-10-14
1518508340 Modern Era Counseling, Pllc Counselor 5200 Park Rd Ste 218-d, Charlotte, NC 28209-3650 2019-10-02
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Competitor

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City CHARLOTTE
Zip Code 28217

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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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