MICHELLE DURHAM (NPI# 1578101523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578101523 |
| Entity Type | Individual |
| Full Name | MICHELLE DURHAM |
| Credential | LPC |
| Practice Address |
12504 Keynote Ln Bowie MD 20715-2746 |
| Practice Telephone | 3015209764 |
| Mailing Telephone | 3015209764 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PRC14964 | DC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794969 | Michelle Lee Durham | Audiologist | 111 Commonwealth Ave Ste 100, Bristol, VA 24201-3832 | 2020-06-12 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1619524733 | Michelle Durham | Nurse Practitioner | 236 Wendel H Ford Blvd, Erlanger, KY 41018-1272 | 2019-08-22 |
| 1700223120 | Michelle Lynne Durham | Case Manager/Care Coordinator | 221 Hamilton St, Ogdensburg, NY 13669-1707 | 2013-05-24 |
| 1295071587 | Michelle Elizabeth Durham | Counselor | 2616 S Clack St, Abilene, TX 79606-1557 | 2012-12-14 |
| 1073740056 | Michelle P Durham | Psychiatry & Neurology | One Boston Medical Center Place, Boston, MA 02118-4001 | 2009-06-17 |
| 1316173735 | Michelle Dawn Durham | Physical Therapist | 6400 Trinity Dr, Pine Bluff, AR 71603-7802 | 2009-06-01 |
| 1023287067 | Michelle Renee Durham | Optometrist | 86-120 Farrington Hwy, Waianae, HI 96792-3000 | 2008-02-25 |
| 1023172202 | Michelle Durham | Nurse Practitioner | 789 Pre Emption Rd, Suite 600, Geneva, NY 14456-2069 | 2006-12-21 |
| Street Address |
12504 KEYNOTE LN |
| City | BOWIE |
| State | MD |
| Zip Code | 20715-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869484 | Autism Community Enterprises, Inc | Counselor | 16604 Peach St, Bowie, MD 20716-3526 | 2020-04-09 |
| 1275184301 | Harold Raul Dawkins | Counselor | 14632 London Ln, Bowie, MD 20715-2572 | 2019-09-20 |
| 1679128557 | Brian Bailey | Counselor | 15201 Jenkins Ridge Rd, Bowie, MD 20721-7256 | 2019-08-07 |
| 1417413253 | Demitri Kornegay | Counselor | 12805 Vicar Woods Ln, Bowie, MD 20720-4770 | 2019-02-18 |
| 1336622059 | Amy Winiecki | Counselor | 4201 Northview Dr # 104, Bowie, MD 20716-2604 | 2018-09-09 |
| 1396225264 | Patricia Morgan Cooper | Counselor | 2825 Bosworth Ln, Bowie, MD 20715-2402 | 2018-08-20 |
| 1538652227 | Fabienne Bonaventure | Counselor | 13014 5th St, Bowie, MD 20720 | 2018-06-07 |
| 1528563376 | Cynthia Hunter | Counselor | 5429 Lakeford Ln, Bowie, MD 20720-4855 | 2018-03-26 |
| 1679075576 | Marcella Louise Debose | Counselor | 15957 Alameda Dr, Bowie, MD 20716-1384 | 2018-03-06 |
| 1215459912 | Gretchen Williams | Counselor | 14300 Gallant Fox Ln Ste 115, Bowie, MD 20715-4031 | 2017-07-13 |
| Find all providers in BOWIE | ||||
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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.