SHANTIVA WORLES (NPI# 1518437862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518437862 |
| Entity Type | Individual |
| Full Name | SHANTIVA WORLES |
| Credential | MSSA |
| Practice Address |
24 Weatherford Sq Jackson TN 38305-2202 |
| Mailing Address |
128 R Deloach Rd Jackson TN 38305-5619 |
| Practice Telephone | 7316606760 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
TN | Behavioral Health & Social Service Providers |
| Street Address |
24 WEATHERFORD SQ |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275672552 | Stephanie Renee Ozier | Social Worker | 24 Weatherford Sq, Jackson, TN 38305-2202 | 2007-02-05 |
| 1295205565 | Adam Westmoreland | Social Worker | 24 Weatherford Sq, Jackson, TN 38305-2202 | 2018-11-29 |
| 1790271112 | Natalie Taylor | Counselor | 24 Weatherford Sq, Jackson, TN 38305-2202 | 2018-07-09 |
| 1245723774 | Zowee Shanks | Counselor | 24 Weatherford Sq, Jackson, TN 38305-2202 | 2018-06-09 |
| 1164912788 | Ericka King | Counselor | 24 Weatherford Sq, Jackson, TN 38305-2202 | 2018-05-18 |
| 1992292981 | Bonnie Kathryn Spicer | Counselor | 24 Weatherford Sq, Jackson, TN 38305-2202 | 2018-04-16 |
| 1255833133 | Deidre Green | Social Worker | 24 Weatherford Sq, Jackson, TN 38305-2202 | 2018-03-06 |
| 1003321902 | Glen Gaugh | Social Worker | 24 Weatherford Sq, Jackson, TN 38305-2202 | 2017-12-13 |
| 1871003814 | Tracye Freeman Valentine | Counselor | 24 Weatherford Sq, Jackson, TN 38305-2202 | 2017-10-04 |
| 1952810970 | Tajuanna Wills | Counselor | 24 Weatherford Sq, Jackson, TN 38305-2202 | 2017-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677893 | Jackson Healing Clinic LLC | Counselor | 2020 Cascade Dr, Jackson, MI 49203-3810 | 2020-10-20 |
| 1568069524 | Philip Ray Nicholas | Counselor | 19 Wood Duck Cv, Jackson, TN 38305-6632 | 2020-10-02 |
| 1184242711 | New Life Goals, LLC | Counselor | 504 Cooper Rd, Jackson, MS 39212-4704 | 2020-07-09 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1962023812 | Kandace Ross | Counselor | 528 Woodbury Rd, Jackson, MS 39206-4830 | 2020-05-01 |
| 1629600945 | Modern Hope of Ms,llc | Counselor | 5825 Kings Pl, Jackson, MS 39211-3321 | 2020-02-05 |
| 1003447657 | Chandler & Associates, LLC | Counselor | 1900 Dunbarton Dr Ste G, Jackson, MS 39216-5015 | 2020-02-03 |
| 1659910701 | Laura E Rutledge | Counselor | 1437 Old Square Rd Ste 101, Jackson, MS 39211-5533 | 2020-01-06 |
| 1154960961 | Timothy A Norris | Counselor | 5026 Raintree Dr, Jackson, MS 39272-5753 | 2019-12-26 |
| 1982243838 | Paula Jane Blocker | Counselor | 401 West St Ste 117, Jackson, MN 56143-1219 | 2019-12-24 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on SHANTIVA WORLES.
| 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.