EDWARD DELA FUENTE (NPI# 1376029777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376029777 |
| Entity Type | Individual |
| Full Name | EDWARD DELA FUENTE |
| Credential | LCDC-I |
| Practice Address |
Coastal Empire Mental Health Center 1050 Ribaut Road Beaufort SC 29902 |
| Mailing Address |
2414 Bull St Columbia SC 29201-1906 |
| Practice Telephone | 8435248899 |
| Practice Fax Number | 8435248179 |
| Mailing Telephone | 8038982461 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
COASTAL EMPIRE MENTAL HEALTH CENTER 1050 RIBAUT ROAD |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| 1487961959 | Jennifer Marie Mohorovic | Psychologist | 1114 Battery Creek Road, Beaufort, SC 29902 | 2010-09-07 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891217253 | Karen S Manspeaker | Counselor | 437 Tuttles Grove Road, Beaufort, NC 28516-2856 | 2017-07-07 |
| 1841607165 | Myunghee Kim Nelson | Counselor | 1211 Harrington St, Beaufort, SC 29902-4179 | 2014-07-18 |
| 1437395969 | Heather L Coker | Counselor | 62 Possum Hill Rd, Beaufort, SC 29906 | 2009-01-06 |
| 1245438712 | Glynis Macarthur Matthews | Counselor | 14 Chesterfield Dr, Beaufort, SC 29906-9006 | 2007-07-06 |
| 1053518902 | Blanche Daw Douglas | Counselor | 10 Wade Hampton Dr, Beaufort, SC 29907-1912 | 2007-07-02 |
| 1922183847 | Maureen Butterworth | Counselor | 106 West St. Extension, Suite B, Beaufort, SC 29902-8502 | 2006-10-26 |
| 1871686527 | Carolyn Goode | Counselor | 1050 Ribaut Road, Beaufort, SC 29902 | 2006-10-02 |
| 1154424497 | Daniel W. Sullivan | Counselor | 62 Possum Hill Road, Beaufort, SC 29902 | 2006-09-05 |
| 1821699281 | Maria Francesca Beyer | Counselor | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2020-11-03 |
| 1174147946 | Claudia Elise Callison | Counselor | 103 Bryan Dr, Beaufort, SC 29902-5262 | 2020-06-08 |
| Find all providers in BEAUFORT | ||||
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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.