SARAH BLAKELY (NPI# 1417490194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417490194 |
Entity Type | Individual |
Full Name | SARAH BLAKELY |
Practice Address |
367 Branchwood Drive Winterville NC 28590 |
Mailing Address |
367 Branchwood Dr Winterville NC 28590-8693 |
Practice Telephone | 2528140767 |
Mailing Telephone | 2528140767 |
Enumeration Date | 2016-11-29 |
Last Update Date | 2016-11-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
22292 | NC | Behavioral Health & Social Service Providers |
Street Address |
367 BRANCHWOOD DRIVE |
City | WINTERVILLE |
State | NC |
Zip Code | 28590 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427666130 | Domika Dunn | Non-emergency Medical Transport (VAN) | 2634 Mill Street, #3, Winterville, NC 28590 | 2020-07-20 |
1740671817 | Faith Lewis Hardison | Social Worker | 173 A Emily Dr., Winterville, NC 28590 | 2015-02-11 |
1255740932 | Kendal Williams Strickland | Pharmacist | 4240 Nc Hwy 11 South, Winterville, NC 28590 | 2014-08-07 |
1396152757 | Patricia Ragin | Counselor | 1200 Freeland Lane, Unit K1, Winterville, NC 28590 | 2014-07-17 |
1780941104 | Triniti House of Restoration | Psychiatric Residential Treatment Facility | 485 Marlboro Drive, Winterville, NC 28590 | 2012-04-23 |
1295003002 | Linda Peer Fleming | Psychologist | 108-d West Firetower Rd., Teacch South Hall Professional Center, Winterville, NC 28590 | 2011-12-07 |
1740595859 | Christina Neverte Sidrak | Pharmacist | 4211 Nc Highway 11 South, Winterville, NC 28590 | 2010-08-12 |
1902124993 | Dove United Counseling and Assessment Services | Counselor | 575 S. Square Drive, Apt 98, Winterville, NC 28590 | 2010-05-14 |
1841526407 | Kyle Dombach | Pharmacist | 4211 Winterville Parkway, Winterville, NC 28590 | 2009-11-02 |
1821266859 | Tomha Mcmillan | Marriage & Family Therapist | 2403 Chippenham Court, Winterville, NC 28590 | 2008-02-12 |
Find all providers in zip 28590 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366097883 | Adam Michael Carlson | Counselor | 4054 S Memorial Dr Ste K, Winterville, NC 28590-8690 | 2019-08-02 |
1346725231 | Sustained Serenity Mental Health Services Pllc | Counselor | 333b S Pointe Dr, Winterville, NC 28590-9959 | 2018-09-26 |
1437638301 | Malcolm U Simmons | Counselor | 697 Edenbrook Dr, Winterville, NC 28590-7099 | 2018-08-10 |
1386145795 | Kendrick Burden | Counselor | 2325 Sadler Dr, Winterville, NC 28590-9868 | 2018-02-22 |
1932649035 | Laneisha Brown | Counselor | 3949a Sedona Dr, Winterville, NC 28590-5869 | 2017-03-08 |
1487199477 | Lakeisha Brown | Counselor | 704 Alexandria Ln, Winterville, NC 28590-9494 | 2016-12-29 |
1457767196 | Kristin Marie Cain | Counselor | 2140 Vale Ct, Winterville, NC 28590-8562 | 2014-07-02 |
1164835849 | Kimberly Wilder | Counselor | 2305 Vineyard Dr # Drive6, Winterville, NC 28590-8299 | 2014-06-10 |
1366887986 | Gary Clayton Roberson Jr. | Counselor | 1191 Charlie Branch Rd, Winterville, NC 28590-8054 | 2013-05-09 |
1831442110 | Tyson's Corner Health Services, Inc | Counselor | 482 Williamston Dr, Winterville, NC 28590-9415 | 2012-10-24 |
Find all providers in WINTERVILLE |
City | WINTERVILLE |
Zip Code | 28590 |
Please comment or provide details below to improve the information on SARAH BLAKELY.
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.