SHONTA L GANDY (NPI# 1578161840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578161840 |
| Entity Type | Individual |
| Full Name | SHONTA L GANDY |
| Credential | CADC |
| Practice Address |
3580 Nc Highway 14 Reidsville NC 27320-8746 |
| Mailing Address |
5751 Fox Chase Dr Winston Salem NC 27105-3085 |
| Practice Telephone | 3365225095 |
| Mailing Telephone | 3368623768 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
3580 NC HIGHWAY 14 |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320-8746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659839363 | Alef Eden, LLC | Counselor | 3580 Nc Highway 14, Reidsville, NC 27320-8746 | 2019-03-12 |
| 1851998108 | Angela Dalton Cohen | Licensed Practical Nurse | 3580 Nc Highway 14, Reidsville, NC 27320-8746 | 2020-10-08 |
| 1073110417 | Suzanna Lynn Devane | Registered Nurse | 3580 Nc Highway 14, Reidsville, NC 27320-8746 | 2020-10-08 |
| 1053946699 | David Jan Mitchell | Counselor | 3580 Nc Highway 14, Reidsville, NC 27320-8746 | 2020-03-04 |
| 1669018545 | Cheryl Wooten Dew | Counselor | 3580 Nc Highway 14, Reidsville, NC 27320-8746 | 2019-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134765019 | Seth Peter Cole | Counselor | 2771 Nc Highway 14, Reidsville, NC 27320-8713 | 2019-11-26 |
| 1659839363 | Alef Eden, LLC | Counselor | 3580 Nc Highway 14, Reidsville, NC 27320-8746 | 2019-03-12 |
| 1285126557 | Jacqueline Davis | Counselor | 1309 Northup St Ste F, Reidsville, NC 27320-5611 | 2018-06-03 |
| 1851652788 | James Randall Cothran | Counselor | 3831 Nc 65, Reidsville, NC 27320-9322 | 2012-06-07 |
| 1851438956 | Burston's Consulting and Counseling Services, LLC | Counselor | 1117 S Main St, Reidsville, NC 27320-5313 | 2007-01-30 |
| 1720149198 | James Luther Burston | Counselor | 857 Knowles Rd, 1117 S. Main Street, Reidsville, NC 27320-8633 | 2006-12-12 |
| 1548357874 | Sharon Ann Stone Springs | Counselor | 7490 Hwy 87, Reidsville, NC 27320-8365 | 2006-10-06 |
| 1053946699 | David Jan Mitchell | Counselor | 3580 Nc Highway 14, Reidsville, NC 27320-8746 | 2020-03-04 |
| 1669018545 | Cheryl Wooten Dew | Counselor | 3580 Nc Highway 14, Reidsville, NC 27320-8746 | 2019-11-26 |
| 1215492624 | Jessica Marie Southard | Counselor | 405 Nc 65, Reidsville, NC 27320-8882 | 2019-02-11 |
| Find all providers in REIDSVILLE | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
Please comment or provide details below to improve the information on SHONTA L GANDY.
| 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.