ANTIONETTE MICHELLE HARRIS (NPI# 1366833832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366833832 |
Entity Type | Individual |
Full Name | ANTIONETTE MICHELLE HARRIS |
Credential | PPC |
Practice Address |
1001 S Douglas Hwy Ste 110 Gillette WY 82716-4951 |
Mailing Address |
2306 Big Lost Dr Gillette WY 82718-3605 |
Practice Telephone | 3076869422 |
Mailing Telephone | 4029803461 |
Enumeration Date | 2015-02-05 |
Last Update Date | 2015-02-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
PPC-872 | WY | Behavioral Health & Social Service Providers |
Street Address |
1001 S DOUGLAS HWY STE 110 |
City | GILLETTE |
State | WY |
Zip Code | 82716-4951 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
Find all providers in zip 82716 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033690656 | Jane R King | Counselor | 400 S Kendrick Ave Ste 104c, Gillette, WY 82716-3848 | 2018-08-22 |
1205373073 | Cheryl Trembath | Counselor | 201 West Lakeway Rd, Suite 1004, Gillette, WY 82718 | 2017-01-31 |
1083985733 | Kelley Marie Boltin | Counselor | 405 W Boxelder Rd Ste C8, Gillette, WY 82718-5320 | 2012-01-25 |
1912285461 | Melisa J Miller | Counselor | 1901 Energy Ct, Suite 311, Gillette, WY 82718-5522 | 2011-08-02 |
1659668416 | Polly Jean Akins | Counselor | 400 S Kendrick Ave Ste 301, Gillette, WY 82716-3803 | 2011-06-30 |
1831217579 | Diana Lucile Foster | Counselor | 4607 Alex Way, Gillette, WY 82718-4145 | 2007-03-27 |
1689775587 | Michelle Daigle | Counselor | 1401 W 2nd St, Suite #1, Gillette, WY 82716-3333 | 2006-09-26 |
1760588875 | Preuit & Daigle Professional Counseling P.C. | Counselor | 1401 W 2nd St Unit 1, Gillette, WY 82716-3334 | 2006-09-15 |
1033742622 | Aspire Counseling, LLC | Counselor | 201 W Lakeway Rd Ste 1004, Gillette, WY 82718-6349 | 2020-02-21 |
1801429287 | Wyoming Center for Clinical Excellence | Counselor | 2001 W Lakeway Rd Ste D, Gillette, WY 82718-5774 | 2020-02-13 |
Find all providers in GILLETTE |
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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.