TINA W EMBRY (NPI# 1497726236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497726236 |
| Entity Type | Individual |
| Full Name | TINA W EMBRY |
| Credential | LPC |
| Practice Address |
625 Clifton St Camden AR 71701-3327 |
| Practice Telephone | 8708369362 |
| Practice Fax Number | 8708369363 |
| Mailing Telephone | 8708369362 |
| Mailing Fax Number | 8708369363 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P0207029 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS AND BLUE SHIEL | 5W957 | 01 |
| AR | MHN NETWORK NUMBER | 302413 | 01 |
| Street Address |
625 CLIFTON ST |
| City | CAMDEN |
| State | AR |
| Zip Code | 71701-3327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528355575 | Amy Marie Cox | Physical Therapy Assistant | 625 Clifton St, Camden, AR 71701-3327 | 2011-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456854 | Teresa Mccann | Pharmacist | Brookshire's Pharmacy #85, 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2020-01-22 |
| 1366938870 | American Oncology Partners, P.a. | Internal Medicine | 115 Fairview Rd Sw, Camden, AR 71701 | 2018-07-09 |
| 1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
| 1649654435 | Gerald Stinnett | Occupational Therapy Assistant | 431 Ouachita 51, Camden, AR 71701 | 2015-07-13 |
| 1902105232 | Joannie Phelps | Counselor | 301a Washington, Camden, AR 71701 | 2011-03-25 |
| 1053540732 | Judy Prince | Counselor | 115 Jefferson Sw, Camden, AR 71701 | 2009-07-02 |
| 1861641532 | Candace Bowen | Occupational Therapy Assistant | 1320 Maul North West Road, Camden, AR 71701 | 2008-09-17 |
| 1073739587 | Harmony Grove School District | Local Education Agency (LEA) | 401 Oua Rd 88, Camden, AR 71701 | 2007-04-17 |
| 1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
| 1104954791 | Lisa H Stevens | Speech-Language Pathologist | 400 Maul Road, Camden, AR 71701 | 2007-03-02 |
| Find all providers in zip 71701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712064 | Lavana J. Kindle | Counselor | Victory Church 1283 Us-278 W, Camden, AR 71701-4551 | 2020-08-28 |
| 1871114322 | Whitney Wilbanks | Counselor | 107 Hemlock Ave, Camden, TN 38320-1123 | 2020-05-06 |
| 1508403403 | Outreach House | Counselor | 2276 S 7th St, Camden, NJ 08104-2258 | 2019-12-10 |
| 1427598465 | Jennifer Patrice Brown | Counselor | 109 Wynsome Blvd, Camden, DE 19934-5327 | 2017-02-23 |
| 1851781587 | Healing In Progress | Counselor | 1 Market St Apt 662, Camden, NJ 08102-2325 | 2015-02-03 |
| 1518381623 | Emily Michelle Morrison | Counselor | 13714 E Diane Dr, Camden, MI 49232-9523 | 2014-02-10 |
| 1992915466 | Donna L. Rudd | Counselor | 612-b Lafayette Ave, Camden, SC 29020 | 2007-05-23 |
| 1194873711 | Sherry H Whiteside | Counselor | 160 Ginger Ln, Camden, TN 38320-1826 | 2007-01-08 |
| 1902991995 | Patricia G Steen | Counselor | Swcmhc/kershaw Cmhc, 2611 Liberty Hill Rd, Camden, SC 29020 | 2006-10-04 |
| 1679521009 | Sheresa S. Melvin | Counselor | Swcmhc/kershaw Cmhc, 2611 Liberty Hill Rd., Camden, SC 29020 | 2006-05-05 |
| Find all providers in CAMDEN | ||||
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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.