BAILEY DEJARNETTE EVANS


Address: 3517 Brandon Ave, Roanoke, VA 24018
Phone: 5409811102

BAILEY DEJARNETTE EVANS (NPI# 1588809479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588809479
Entity Type Individual
Full Name BAILEY DEJARNETTE EVANS
Credential LPC
Practice Address 3517 Brandon Ave
Roanoke
VA 24018
Mailing Address 301 Elm Avenue
Roanoke
VA 24016
Practice Telephone 5409811102
Mailing Telephone 5403459841
Enumeration Date 2008-12-08
Last Update Date 2008-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0701004482 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 1437137734 05

Office Location

Street Address 3517 BRANDON AVE
City ROANOKE
State VA
Zip Code 24018

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NPI Name Taxonomy Address Enumeration
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1265928535 Jane Willis Warner Behavior Technician 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 2018-07-10
1821584640 Anchor To Hope Counseling LLC Counselor 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 2018-07-04
1164938619 Aurora Domangue Behavior Technician 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 2017-12-20
1376059089 Maggie Marie Ridgeway Behavior Technician 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 2017-12-18
1700301850 Nicole Graboski Speech-Language Pathologist 4920 Woodmar Drive Sw, Roanoke, VA 24018 2017-08-10
1891215893 Kimberly Anne Rosenberger Occupational Therapy Assistant 2772 Hillbrook Dr., Roanoke, VA 24018 2017-06-21
1083158950 Encompass Home Health of Roanoke, LLC Home Health 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 2016-12-13
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548872021 Insights & Inspiration, LLC Counselor 6235 Buckland Mill Rd, Roanoke, VA 24019-6709 2020-08-17
1689283525 Lea Ann Crawford Counselor 1401 Pine Ridge Rd, Roanoke, TX 76262-6444 2020-07-27
1972129435 Abrina Marie Schnurman-crook Counselor 2022 Maiden Ln Sw, Roanoke, VA 24015-2310 2020-06-21
1669095410 Kaisha Williams Counselor 6870 Woodcreeper Dr, Roanoke, VA 24019-3816 2020-05-27
1003439043 Mary Francis Counselor 175 Summit Way Sw, Roanoke, VA 24014-5156 2020-05-26
1720618804 Angela Dee Conway Counselor 15476 Yarberry Dr, Roanoke, TX 76262-3351 2020-01-17
1235786997 Jayna Madeleine Ratliff Counselor 3807 Brandon Ave Sw Ste 1115, Roanoke, VA 24018-1490 2019-08-19
1205496353 Jennie Antonette Sitman Counselor 5220 Hazelridge Rd Nw, Roanoke, VA 24012-1542 2019-06-19
1063072312 Restore Family Counseling, Inc. Counselor 3959 Electric Rd Ste 125, Roanoke, VA 24018-4559 2019-06-18
1760949051 Sabrina M Cowan Counselor 3524 Brambleton Ave Ste 6, Roanoke, VA 24018-6528 2019-02-22
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Competitor

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City ROANOKE
Zip Code 24018

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Dataset Information

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.

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