PHYLLIS FELISHAONA DEAN (NPI# 1427566504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427566504 |
| Entity Type | Individual |
| Full Name | PHYLLIS FELISHAONA DEAN |
| Practice Address |
2803 Old North Hills St Meridian MS 39305-1630 |
| Practice Telephone | 6014532919 |
| Practice Fax Number | 6014532919 |
| Mailing Telephone | 6014532919 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2803 Old North Hills St, Meridian, MS 393051630 | 6014532919 |
| Street Address |
2803 OLD NORTH HILLS ST |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39305-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154845014 | Camesha Mckinnis | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2017-08-01 |
| 1992346274 | Jacquelynne Teauna Lockett | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2019-10-08 |
| 1164071734 | James M Brock | Peer Specialist | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2019-09-06 |
| 1669025557 | Pamela Drummond | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2019-07-19 |
| 1669942827 | Ashley Rue | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-11-30 |
| 1134694862 | Brierra Keyonna Smith | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-10-09 |
| 1245705987 | Tyrikia Nicholle Porter | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-10-09 |
| 1356821391 | Porchia Powe | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-08-20 |
| 1992216329 | Tyreeka Randolph | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2017-10-12 |
| 1164931556 | Annitnette Mcgill | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2017-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521053 | Shirley Home Care, LLC | Nurse's Aide | 4525 Poplar Springs Drive, Meridian, MS 39305 | 2020-09-08 |
| 1871017855 | Robbyn Lee | Nurse Practitioner | 4715 24th Place, Meridian, MS 39305 | 2017-08-01 |
| 1245686575 | Synergy Physical Therapy & Sports Medicine, LLC | Clinic/Center | 2447 47th Court, Suite F, Meridian, MS 39305 | 2016-05-05 |
| 1912305988 | Anderson Regional Medical Center | Family Medicine | 6694 Poplar Springs Drive, Meridian, MS 39305 | 2014-12-08 |
| 1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
| 1982042198 | Kennerh Provine Collins | Pharmacist | 2917 56th Court, Meridian, MS 39305 | 2013-06-10 |
| 1306284880 | A1 In Home Therapy | Community Health Worker | 211 North Hills Street J6, A1 In Home Therapy, Meridian, MS 39305 | 2013-06-06 |
| 1497192876 | Taylor Farland | Dentist | 2300 North Hills, Meridian, MS 39305 | 2013-05-27 |
| 1376814533 | Priscilla Miller | Nurse Practitioner | 4715 42nd Place, Meridian, MS 39305 | 2012-01-19 |
| 1497083927 | Kelley C Gowdy | Nurse Practitioner | 4711 Poplar Springs Drive, Meridian, MS 39305 | 2009-11-20 |
| Find all providers in zip 39305 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271843 | Krystle May Sears | Counselor | 1550 N Crestmont Dr Ste A, Meridian, ID 83642-2177 | 2020-10-01 |
| 1750927372 | Restoring Hope Healing From Trauma and Addiction LLC | Counselor | 850 E Franklin Rd Ste 405, Meridian, ID 83642-8917 | 2019-11-19 |
| 1942864434 | Carissa Ann Barnes | Counselor | 827 W Ashby Dr, Meridian, ID 83646-5695 | 2019-04-30 |
| 1134687809 | Lauren Yoder | Counselor | 3023 E Copper Point Dr Ste 108, Meridian, ID 83642-9290 | 2019-03-12 |
| 1376000943 | Amanda Marie Breneman | Counselor | 235 E Pine Ave, Meridian, ID 83642-2332 | 2019-03-01 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1740767623 | Serena Poland | Counselor | 3019 S Hudspeth Ave, Meridian, ID 83642-4815 | 2018-07-24 |
| 1821574294 | Anna Krzemieniecki | Counselor | 1406 N Main St Ste 203, Meridian, ID 83642-1746 | 2018-07-18 |
| 1972011062 | Ebone Shania Newton | Counselor | 2803 North Hills Street, Meridian, MS 35459 | 2018-01-11 |
| 1285143941 | Nicholas E O'brien | Counselor | 2463 E Gala St, Meridian, ID 83642 | 2017-09-26 |
| Find all providers in MERIDIAN | ||||
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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.