ANDREA LYNN PAVENTI (NPI# 1386174340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386174340 |
| Entity Type | Individual |
| Full Name | ANDREA LYNN PAVENTI |
| Credential | LCDC III |
| Practice Address |
25 N Canfield Niles Rd Youngstown OH 44515-2328 |
| Mailing Address |
4814 Westchester Dr Youngstown OH 44515-2572 |
| Practice Telephone | 3302702380 |
| Practice Fax Number | 3302702383 |
| Mailing Telephone | 3305011988 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
991762 | OH | Behavioral Health & Social Service Providers |
| Street Address |
25 N CANFIELD NILES RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44515-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912353590 | Alicia L Stoner | Social Worker | 25 N Canfield Niles Rd, Suite 19, Youngstown, OH 44515-2328 | 2016-05-12 |
| 1851690648 | Sheridan Enterprises | Clinical Medical Laboratory | 25 N Canfield Niles Rd, Suite 160, Youngstown, OH 44515-2328 | 2011-03-21 |
| 1801191127 | Vincent J Malkovits Do LLC | Neuromusculoskeletal Medicine & OMM | 25 N Canfield Niles Rd, Suite #160, Youngstown, OH 44515-2328 | 2011-01-18 |
| 1053500462 | Thomas A Bailey Md Inc | Internal Medicine | 25 N Canfield Niles Rd, Suite 160, Youngstown, OH 44515-2328 | 2007-10-22 |
| 1205957370 | Youngstown Associates In Radiology | Radiology | 25 N Canfield Niles Rd, Youngstown, OH 44515-2328 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
| 1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
| 1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
| 1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
| 1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
| 1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
| 1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
| 1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
| 1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
| 1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
| Find all providers in zip 44515 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1538771282 | Faith Marie Palmer | Counselor | 2703 Mahoning Ave Ste 105, Youngstown, OH 44509-2337 | 2020-08-22 |
| 1245895119 | Clinton Lynch | Counselor | 506 E Liberty St, Youngstown, OH 44505-1544 | 2019-05-07 |
| 1760047187 | Norman L Carter | Counselor | 108 W Indianola Ave, Youngstown, OH 44507-1459 | 2019-05-02 |
| 1043791825 | Jessica Marie Glandorf | Counselor | 1185 Townsend Ave, Youngstown, OH 44505-1267 | 2018-08-28 |
| 1194204933 | Nicole Marie Campana | Counselor | 2217 Lyon Blvd, Youngstown, OH 44514-1568 | 2018-08-13 |
| 1417442112 | Melanie J King | Counselor | 555 S Hazelwood Ave, Youngstown, OH 44509-2231 | 2018-06-25 |
| 1922590173 | Bonnie Warrington | Counselor | 344 Broadview Ave, Youngstown, OH 44509-1149 | 2018-06-04 |
| 1013418508 | Angel Olivia Pixley | Counselor | 881 Rose St, Youngstown, OH 44506-1431 | 2018-02-21 |
| 1184142432 | Felicia Briggs | Counselor | 2151 Rush Blvd., Youngstown, OH 44507 | 2017-09-07 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44515 |
Please comment or provide details below to improve the information on ANDREA LYNN PAVENTI.
| 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.