CHARISSE C CHARLES (NPI# 1548724792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548724792 |
| Entity Type | Individual |
| Full Name | CHARISSE C CHARLES |
| Practice Address |
1711 E Central Texas Expy Killeen TX 76541-9166 |
| Mailing Address |
4508 Indigo Dr Killeen TX 76542-4626 |
| Practice Telephone | 7575242414 |
| Practice Fax Number | 2546139071 |
| Mailing Telephone | 7572840059 |
| Mailing Fax Number | 2546139071 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | M128304 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1711 E CENTRAL TEXAS EXPY |
| City | KILLEEN |
| State | TX |
| Zip Code | 76541-9166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459065 | Michael William Ford | Dentist | 1711 E Central Texas Expy, Ste 102, Killeen, TX 76541-9145 | 2005-06-29 |
| 1285291674 | Brianna Shannon | Behavior Technician | 1711 E Central Texas Expy, Killeen, TX 76541-9166 | 2019-05-21 |
| 1447748553 | Okenwa Ngwu | Behavior Technician | 1711 E Central Texas Expy, Killeen, TX 76541-9166 | 2018-04-24 |
| 1720524192 | Ki Lim | Counselor | 1711 E Central Texas Expy, Suite #101, Killeen, TX 76541-9166 | 2017-01-10 |
| 1821479056 | Morgan Morris Counseling Associates LLP | Counselor | 1711 E Central Texas Expy, Killeen, TX 76541-9166 | 2015-06-12 |
| 1356762777 | Jones & Jones Associates, LLC | Community/Behavioral Health | 1711 E Central Texas Expy, Ste 302, Killeen, TX 76541-9166 | 2014-01-02 |
| 1689944241 | Mihaela Vasile | Behavioral Analyst | 1711 E Central Texas Expy, 201a, Killeen, TX 76541-9166 | 2012-01-12 |
| 1427288257 | Mickey O. Smith, Lcsw,pa | Social Worker | 1711 E Central Texas Expy, Suite 103, Killeen, TX 76541-9166 | 2009-07-14 |
| 1992975148 | Jack Jones Hearing Centers, Inc | Hearing Aid Equipment | 1711 E Central Texas Expy, Suite 108-3, Killeen, TX 76541-9166 | 2008-03-04 |
| 1003092404 | Ellen Lynn Santolucito | Counselor | 1711 E Central Texas Expy, Suite 108-6, Killeen, TX 76541-9166 | 2008-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982240297 | Rohini Singh 2 Dmd Pllc | Dentist | 2520 Trimmier Rd Ste 105, Killeen, TX 76541 | 2019-11-21 |
| 1942723218 | Madeline Y Chung | Acupuncturist | 201 N Gray St #a, Killeen, TX 76541 | 2017-07-19 |
| 1447709266 | Henry Charles Lucksinger Jr. | Dentist | 811 Oakhill Drive, Killeen, TX 76541 | 2016-09-22 |
| 1285039289 | Greater Killeen Free Clinic | Clinic/Center | 718 N 2nd Str, Suite A, Killeen, TX 76541 | 2014-11-03 |
| 1508158247 | Michelle D Tucker | Social Worker | 508 North 8th Street, Killeen, TX 76541 | 2011-05-13 |
| 1952618258 | Mbs Wellness Chiropractic Center | Clinic/Center | 300 West Central Texas Expressway, Killeen, TX 76541 | 2010-09-08 |
| 1134369804 | Adrianne B Scanlon | Occupational Therapist | 605 Donne, Killeen, TX 76541 | 2009-02-20 |
| 1306962337 | Karen Venhuizen | Speech-Language Pathologist | 882 Fort Hood Road, Suite 1050, Killeen, TX 76541 | 2007-03-21 |
| 1184759714 | Eleanor L. Melville | Social Worker | 1805 Florence Road, Suite 10, Killeen, TX 76541 | 2007-02-23 |
| 1962545491 | Matthew Michael Williams | Counselor | 1711 E Central Texas Expy Ste 300i, Killeen, TX 76541 | 2007-02-15 |
| Find all providers in zip 76541 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204255 | Divine Touch Tx Pllc | Massage Therapist | 4008 E Stan Schlueter Loop Ste 108, Killeen, TX 76542-8537 | 2020-04-24 |
| 1174087472 | Marvin Westby | Massage Therapist | 1711 E Central Texas Expy Ste 300h, Killeen, TX 76541-9120 | 2019-01-31 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| 1952853509 | Katja Leavitt | Massage Therapist | 2201 West Stan Schlueter Lp, B100, Killeen, TX 76549 | 2016-10-31 |
| 1154665610 | Danita Shortte | Massage Therapist | 710 W Rancier Ave, Suite 210, Killeen, TX 76541-3200 | 2012-11-21 |
| 1629339221 | Wendy Ann Levalley | Massage Therapist | 4400-2 East Certral Texas Expressway Suite B, Killeen, TX 76542 | 2012-05-31 |
| 1275802845 | Diana A Hinton | Massage Therapist | 2100 E Stan Schlueter Loop Ste J, Killeen, TX 76542-3808 | 2011-12-27 |
| 1588807085 | Sabine M Bray | Massage Therapist | 2100 E Stan Schlueter Loop, Suite J, Killeen, TX 76542-3807 | 2009-04-13 |
| 1023263803 | Rosalind A Rooks | Massage Therapist | 4400-2 E Centx Expwy, B, Killeen, TX 76543-7373 | 2008-11-20 |
| 1679796346 | Kyoung Hui Moore | Massage Therapist | 2901 W Stan Schlueter Loop Ste 400, Killeen, TX 76549-3746 | 2007-04-11 |
| Find all providers in KILLEEN | ||||
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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.