CHARLENE DAVIS (NPI# 1528462355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528462355 |
| Entity Type | Individual |
| Full Name | CHARLENE DAVIS |
| Credential | MA |
| Practice Address |
164 Waccamaw Medical Park Dr Conway SC 29526 |
| Mailing Address |
164 Waccamaw Medical Park Dr Conway SC 29526-8903 |
| Practice Telephone | 8433475060 |
| Practice Fax Number | 8433473959 |
| Mailing Telephone | 8433475060 |
| Mailing Fax Number | 8433473959 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2019-03-29 |
| 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 |
|---|---|---|
| 1175 N Guignard Dr, Sumter, SC 291501519 | 8037757898 | 8037735246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969949 | Charlene Marie Davis | Behavior Technician | 1106 38th Ave Ne, Hickory, NC 28601-7467 | 2020-10-16 |
| 1023519709 | Charlene A Davis | Behavioral Analyst | 306 Windmere St, Henderson, NV 89074-5950 | 2018-02-27 |
| 1194083147 | Charlene Marie Davis | Home Health Aide | Intergrated Community Services Inc, 6323 Georgia Ave Nw # 106, Washington, DC 20011 | 2012-04-27 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1851809883 | Charlene Letressa Davis | Community/Behavioral Health | 125 E Cheves St, Florence, SC 29506-2526 | 2018-01-11 |
| 1831632447 | Charlene Davis | Behavior Technician | 680 Northland Blvd, Cincinnati, OH 45240-3248 | 2016-11-30 |
| 1144689068 | Charlene Davis | Developmental Therapist | 1720 N Westgate Dr, Suite D, Boise, ID 83704-7164 | 2016-02-19 |
| 1366866329 | Charlene Davis | Licensed Practical Nurse | 5676 Broadview Rd, Apt 523, Cleveland, OH 44134-1635 | 2014-02-11 |
| 1821354432 | Charlene Davis | Home Health Aide | 1707 L St Nw, Suite 900, Washington, DC 20036-4201 | 2012-04-09 |
| 1346541463 | Charlene Alison Davis | Pharmacist | 550 S 4th St, Coos Bay, OR 97420-1506 | 2010-11-04 |
| Street Address |
164 WACCAMAW MEDICAL PARK DR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370021 | Kurt Klauburg | Psychiatry & Neurology | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2005-07-19 |
| 1740881242 | Tracey Buster | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-11-03 |
| 1417557471 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-10-29 |
| 1427676907 | Leslie Ethridge Barnes | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-07-10 |
| 1043849151 | Juleian Edwards | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-04-02 |
| 1942835202 | Rachel Anne Hemingway | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-03-06 |
| 1912530221 | Matthew John Beauchemin | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-14 |
| 1114559085 | Jeffrey N. Osborne | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-10 |
| 1790317006 | Joshawna April Mcabee | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-05 |
| 1922639343 | Lorie A Matthews | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471509 | Access Counseling & Assessment Services, LLC | Counselor | 505 Amity Rd Ste 604, Conway, AR 72032-5993 | 2020-09-15 |
| 1639795511 | Mindy Lynne Durey | Counselor | 7 Medical Ln Ste H, Conway, AR 72034-4918 | 2020-06-17 |
| 1285261131 | Mary Hutson | Counselor | 766 Harkrider St, Conway, AR 72032-4401 | 2020-03-23 |
| 1679045314 | Dawnavese Sadler | Counselor | 1227 16th Ave # 179, Conway, SC 29526-3483 | 2018-12-19 |
| 1942742259 | Patricia Bradley | Counselor | 2501 Dave Ward Dr, Suite A5, Conway, AR 72034-6091 | 2016-11-17 |
| 1043661135 | Kevin Nathaniel Phelps Spurgers | Counselor | 740 S Salem Rd Ste 106, Conway, AR 72034-5520 | 2016-06-29 |
| 1316322324 | Susanna Lorraine Aich | Counselor | 915 Oak St Ste 103, Conway, AR 72032-4389 | 2015-07-21 |
| 1922498807 | Alex Schluterman | Counselor | 1622 Donaghey Ave, Conway, AR 72034-3221 | 2015-01-29 |
| 1639587470 | Johari Family Services, LLC | Counselor | 800 Legion St, Suite 100-c, Conway, SC 29526-4825 | 2014-07-24 |
| 1407190200 | Melissa Lynn Lewis | Counselor | 1765 Arden Ln, Conway, AR 72034-3550 | 2012-11-16 |
| Find all providers in CONWAY | ||||
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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.