LARRY LAMONT JOE JR. (NPI# 1497216667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497216667 |
Entity Type | Individual |
Full Name | LARRY LAMONT JOE JR. |
Practice Address |
1348 Westgate Center Dr Ste 204 Winston Salem NC 27103-2984 |
Mailing Address |
307 Weaver Dr Lexington NC 27292-4745 |
Practice Telephone | 3363415354 |
Mailing Telephone | 3365758156 |
Enumeration Date | 2019-03-28 |
Last Update Date | 2019-03-28 |
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) |
Behavioral Health & Social Service Providers |
Street Address |
1348 WESTGATE CENTER DR STE 204 |
City | WINSTON SALEM |
State | NC |
Zip Code | 27103-2984 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
Find all providers in zip 27103 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215566385 | Sherrie Nicole Fogg | Counselor | 215 Braeburn Dr, Winston Salem, NC 27127-4691 | 2020-04-02 |
1831721968 | Olivia Henderson Smith | Counselor | 1 Medical Center Blvd 5th Floor Watlington Hall, Winston Salem, NC 27157-0001 | 2020-02-06 |
1578110805 | Elevation Counseling Services Pllc | Counselor | 1922 S Martin Luther King Jr Dr Ste 27, Winston Salem, NC 27107-1361 | 2019-08-21 |
1356900898 | Kendal Simeon Brown | Counselor | 4830 Tutelo Trl, Winston Salem, NC 27127-9419 | 2019-06-09 |
1558829994 | Esther Fredrica Dixon | Counselor | 326 N Spring St, Winston Salem, NC 27101-2722 | 2019-03-05 |
1609383736 | Stephanie Gimenez | Counselor | 163 Stratford Ct Ste 225, Winston Salem, NC 27103-1836 | 2018-01-10 |
1194239665 | Brandon Andre Jevon James | Counselor | 1922 S Martin Luther King Jr Dr Ste 225, Winston Salem, NC 27107-1361 | 2017-11-20 |
1417484304 | Jessica Lynn Vaughn | Counselor | 3640 Westgate Center Cir Ste A, Winston Salem, NC 27103 | 2017-05-22 |
1316472475 | Wendy Marshall | Counselor | 5078 Leeshire Way, Winston Salem, NC 27106-1870 | 2017-04-26 |
1255877296 | Kingsberry Counseling Services, Pllc | Counselor | 421 Paigebrook Dr, Winston Salem, NC 27106-8744 | 2017-01-14 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27103 |
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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.