DEDRIA CORE (NPI# 1548705114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548705114 |
| Entity Type | Individual |
| Full Name | DEDRIA CORE |
| Practice Address |
711 Nw 1st St Gainesville FL 32601-5343 |
| Mailing Address |
1485 S Semoran Blvd Winter Park FL 32792-5533 |
| Practice Telephone | 8133951527 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
711 NW 1ST ST |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32601-5343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508988114 | Suzanne J Scott | Marriage & Family Therapist | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2007-04-04 |
| 1114565165 | Nicole Burg | Marriage & Family Therapist | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2019-12-19 |
| 1093368367 | Paige Wolke | Marriage & Family Therapist | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2019-07-16 |
| 1578042081 | Bonnie Rodriguez | Counselor | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2018-08-07 |
| 1841718830 | Anthony Francis Mancuso | Social Worker | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2017-08-30 |
| 1073030078 | Tashara English | Counselor | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2017-08-29 |
| 1679098438 | Victoria E Campo | Social Worker | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2017-08-13 |
| 1497270862 | Watonya Davis Taylor | Marriage & Family Therapist | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2017-08-07 |
| 1619402120 | David Aaron Mcduffie | Counselor | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2017-04-23 |
| 1437682994 | Tyler Melton | Counselor | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2017-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316584675 | Gainesville Peer Respite, Inc. | Peer Specialist | 728 E. University Avenue, Gainesville, FL 32601 | 2019-12-05 |
| 1376008375 | Three Treasures Holistic Care, LLC | Counselor | 2727 B Nw 43rd St, Suite B, Gainesville, FL 32601 | 2019-02-04 |
| 1376060301 | Healing Elements Integrative Acupuncture LLC | Acupuncturist | 305 Se 2cd Ave, Gainesville, FL 32601 | 2017-08-30 |
| 1477078327 | Lisa Anderson | Acupuncturist | 1000 Ne 16th Ave Bldg I Suite A, Gainesville, FL 32601 | 2017-08-11 |
| 1336590892 | Cheryl Fraley | Counselor | 1408 Nw 6th Street, Gainesville, FL 32601 | 2016-06-27 |
| 1710357363 | Erika Chase | Acupuncturist | 305 Se 2cd Avenue, Gainesville, FL 32601 | 2015-09-25 |
| 1811300148 | Stephanie Adamczak | Student in an Organized Health Care Education/Training Program | 1149 South Newell Drive, Gainesville, FL 32601 | 2014-06-04 |
| 1477979441 | Mary Santello | Mechanotherapist | 115 Ne 6th Terrace, Suite 205, Gainesville, FL 32601 | 2014-03-13 |
| 1740628957 | Caitlyn Kloss | Specialist | 900 Nw 8th Avenue, Gainesville, FL 32601 | 2013-06-10 |
| 1992054886 | Anthony Lorne Johnson | Massage Therapist | 1330 Nw 6th St Suite A, Gainesville, FL 32601 | 2012-09-06 |
| Find all providers in zip 32601 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192427 | Florida United Methodist Childrens Home, Inc. | Community/Behavioral Health | 9501 Sw Archer Rd, Gainesville, FL 32608-5721 | 2020-10-23 |
| 1134737257 | Connie Pierre-antoine | Community/Behavioral Health | 305 Ne 1st St, Gainesville, FL 32601-5310 | 2020-07-15 |
| 1578122578 | Georgia Dept of Human Resouces Field Fiscal Services - Region II | Community/Behavioral Health | 447 Ee Butler Pkwy, Gainesville, GA 30501-4524 | 2019-06-12 |
| 1720571953 | Finnette W. Fabrick, Ph.d. | Community/Behavioral Health | 4111 Nw 16th Dr, Gainesville, FL 32605-1972 | 2018-06-12 |
| 1003324211 | A Helping Hand Counseling. LLC | Community/Behavioral Health | 408 W University Ave Ste 206b, Gainesville, FL 32601-5280 | 2018-01-22 |
| 1336688647 | A Better Tomorrow Counseling and Consulting | Community/Behavioral Health | 1320 Ne 28th Ave, Gainesville, FL 32609-3115 | 2017-02-20 |
| 1508214909 | Choice Behavior Services, LLC | Community/Behavioral Health | 3300 Nw 30th Ave, Gainesville, FL 32605-2716 | 2016-05-26 |
| 1578910048 | Anchor Behavior Center LLC | Community/Behavioral Health | 1207 Ne 6th St, Gainesville, FL 32601-4466 | 2016-05-15 |
| 1104272970 | Rich At Heart Healthcare | Community/Behavioral Health | 7501 Ne 52nd Ter, Gainesville, FL 32609-1216 | 2016-05-10 |
| 1366808552 | Nurture By Nature | Community/Behavioral Health | 1635 Se 12th Pl, Gainesville, FL 32641-8296 | 2016-01-05 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32601 |
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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.