TERESA S. DEMENT (NPI# 1457890097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457890097 |
| Entity Type | Individual |
| Full Name | TERESA S. DEMENT |
| Credential | LPCC, LICDC |
| Practice Address |
1220 W Hunter St Logan OH 43138-1012 |
| Practice Telephone | 7402052999 |
| Practice Fax Number | 7402164501 |
| Mailing Telephone | 7402052999 |
| Mailing Fax Number | 7402164501 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LICDC.161833 | OH | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E.1901231 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1220 W HUNTER ST |
| City | LOGAN |
| State | OH |
| Zip Code | 43138-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902870405 | Leslie Ann Burgie | Nurse Practitioner | 1220 W Hunter St, Logan, OH 43138-1012 | 2006-02-14 |
| 1326542507 | Common Bond Counseling, LLC | Counselor | 1220 W Hunter St, Logan, OH 43138-1012 | 2018-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538667696 | Kelsey Whalen | Social Worker | 541 Sr 93 N, Suite C, Logan, OH 43138 | 2018-01-24 |
| 1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
| 1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
| 1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
| 1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1194138651 | Diles Logan Hearing Center, L.L.C. | Audiologist | 1323 West Hunter Street, Logan, OH 43138 | 2014-06-03 |
| 1205252210 | Shaun Crisp | Occupational Therapy Assistant | 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 | 2014-03-14 |
| 1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
| 1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
| Find all providers in zip 43138 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183677 | Tracy Wolford | Counselor | 203 Main Ave, Logan, WV 25601-3311 | 2020-08-04 |
| 1669095576 | Albright Clinics, LLC | Counselor | 60 E Center St Ste 105, Logan, UT 84321-4639 | 2020-05-26 |
| 1386296184 | Catherine Abel | Counselor | 965 S 100 W Ste 103, Logan, UT 84321-6065 | 2019-07-11 |
| 1992258644 | Tamra J.g. Priestley | Counselor | 95 W 100 S Ste 386, Logan, UT 84321-5838 | 2016-07-29 |
| 1558773515 | Doriann Sheri Pye | Counselor | 965 S 100 W Ste 204, Logan, UT 84321-6072 | 2014-05-27 |
| 1275801128 | Kristi M Pennington | Counselor | 541 State Route 664 N Ste C, Logan, OH 43138-8541 | 2011-12-07 |
| 1235267121 | Jill Ann Trice | Counselor | 1755 N 400 E, Suite 103, Logan, UT 84341-1954 | 2007-03-01 |
| 1285736553 | Bear River Mental Health Services Inc | Counselor | 90 E 200 N, Logan, UT 84321-4034 | 2006-09-05 |
| 1417061789 | Susan S. Campbell | Counselor | 965 S 100 W Ste 203, Logan, UT 84321-6071 | 2006-08-17 |
| 1275152910 | Mount Logan Clinic | Counselor | 246 E 1260 N, Logan, UT 84341-7501 | 2020-04-13 |
| Find all providers in LOGAN | ||||
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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.