WILLIE HANEY (NPI# 1417455536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417455536 |
| Entity Type | Individual |
| Full Name | WILLIE HANEY |
| Credential | CDCA |
| Practice Address |
3440 Office Park Dr Kettering OH 45439-2214 |
| Practice Telephone | 9372999060 |
| Practice Fax Number | 9372999060 |
| Mailing Telephone | 9375867725 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
010917 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CERTIFICATION NUMBER | 010917 | 01 |
| Street Address |
3440 OFFICE PARK DR |
| City | KETTERING |
| State | OH |
| Zip Code | 45439-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043511975 | Clearing Path's Therapeutic Services, Ltd | Counselor | 3440 Office Park Dr, Kettering, OH 45439-2214 | 2010-11-09 |
| 1629618996 | Cheryl Smith | Registered Nurse | 3440 Office Park Dr, Kettering, OH 45439-2214 | 2020-01-14 |
| 1114564184 | Helena Graham | Student in an Organized Health Care Education/Training Program | 3440 Office Park Dr, Kettering, OH 45439-2214 | 2019-12-09 |
| 1760025944 | Christopher Courtney | Counselor | 3440 Office Park Dr, Kettering, OH 45439-2214 | 2019-10-21 |
| 1790326569 | Nukemia Kaye Brown | Counselor | 3440 Office Park Dr, Kettering, OH 45439-2214 | 2019-10-03 |
| 1588215222 | Ann Goodwin | Behavior Technician | 3440 Office Park Dr, Kettering, OH 45439-2214 | 2019-09-24 |
| 1184270134 | Clearing Path's Therapeutic Services, Ltd | Community/Behavioral Health | 3440 Office Park Dr, Kettering, OH 45439-2214 | 2019-08-15 |
| 1780230052 | Clearing Path's Therapeutic Services, Ltd | Community/Behavioral Health | 3440 Office Park Dr, Kettering, OH 45439-2214 | 2019-08-13 |
| 1841585551 | Jennifer Schlagheck | Counselor | 3440 Office Park Dr, Kettering, OH 45439-2214 | 2011-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455260 | Joseph Michael Meacham | Counselor | 3059 Kettering Blvd., Moraine, OH 45439 | 2020-04-02 |
| 1932673597 | Sabrina M Nichols | Behavior Technician | 5290 Cobblegate Drive, Moraine, OH 45439 | 2019-01-17 |
| 1013406040 | Chevelle Antionette Bennett | Licensed Practical Nurse | 4964 Springboco Pk, Mocaine, OH 45439 | 2018-05-04 |
| 1205332418 | Vincent A Mcbride | Case Manager/Care Coordinator | 3350 South Kettering Blvd, Moraine, OH 45439 | 2018-04-05 |
| 1124532635 | Rodescu Macklin | Counselor | 200 Daruma Parkway, Moraine, OH 45439 | 2017-11-20 |
| 1194248872 | Blu Diamond Home Care LLC | Home Health | 3481 Office Park Drive, Suite 12d, Dayton, OH 45439 | 2017-07-25 |
| 1003342692 | Chadonn Cummings | Social Worker | 3905 Kettering Blvd, Moriane, OH 45439 | 2017-05-03 |
| 1962959098 | Jessica Woody | Counselor | 3011kettering Blvd, Suite 311, Moraine, OH 45439 | 2016-09-07 |
| 1427409309 | Aida E Scanlon | Physician Assistant | 3445 S Dixie Dr, Moraine, OH 45439 | 2016-06-22 |
| 1881048908 | Judith Crum | Counselor | 4983 Joyce Dr., Dayton, OH 45439 | 2016-04-14 |
| Find all providers in zip 45439 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205307626 | Rick C Smith | Counselor | 1250 W Dorothy Ln Apt T24, Kettering, OH 45409-1315 | 2018-12-11 |
| 1386085389 | Billy Mayfield | Counselor | 2110 S Smithville Rd Apt C, Kettering, OH 45420-1437 | 2013-07-08 |
| 1871733758 | Steve K Whisenhunt | Counselor | 3560 Marshall Rd, Kettering, OH 45429-4916 | 2009-03-04 |
| 1508932260 | Maria Strasser-brady | Counselor | 3430 S Dixie Ave, Suite 110, Kettering, OH 45439 | 2006-11-27 |
| 1417047630 | Eric D Mclellan | Counselor | 1948 E Whipp Rd Ste A2, Kettering, OH 45440-4239 | 2006-10-16 |
| 1790326569 | Nukemia Kaye Brown | Counselor | 3440 Office Park Dr, Kettering, OH 45439-2214 | 2019-10-03 |
| 1346892288 | Robert Kirk Brenneman | Counselor | 3908 Wilmington Pike, Kettering, OH 45429-5070 | 2019-07-11 |
| 1851860381 | Kristyn Arnett | Counselor | 3560 Marshall Rd, Kettering, OH 45429-4916 | 2018-11-14 |
| 1912376708 | Jennifer L Roll | Counselor | 1349 E Stroop Rd, Kettering, OH 45429-4925 | 2015-09-22 |
| 1952524738 | Todd William Reed | Counselor | 1269 Colfax Ave, Kettering, OH 45419-2103 | 2007-04-10 |
| Find all providers in KETTERING | ||||
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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.