PROFESSIONAL REHABILITATION CONSULTANTS (NPI# 1598844565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598844565 |
Entity Type | Organization |
Organization Name | PROFESSIONAL REHABILITATION CONSULTANTS |
Practice Address |
1710 Kay St Greensboro NC 27405-5046 |
Practice Telephone | 3365081157 |
Mailing Telephone | 3365081157 |
Enumeration Date | 2006-11-02 |
Last Update Date | 2008-06-06 |
Authorized Official Name | ZAN L LICCIONE (CEO, CLINICAL SERVICES) |
Authorized Official Telephone | 3365081157 |
Authorized Official Credential | CRC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporation | Professional Rehabilitation Consultants, Inc. | , , |
Virginia Business Entity | Professional Rehabilitation Consultants, Inc. | PO BOX 34327 , RICHMOND, VA 23234 |
Street Address |
1710 KAY ST |
City | GREENSBORO |
State | NC |
Zip Code | 27405-5046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
Find all providers in zip 27405 |
Taxonomy Code | 103TR0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952789695 | Turquoise Consulting Inc.. | Psychologist | 95 Holly Ridge Rd, Box 161 Kipling, Nc 27543, Angier, NC 27501-6854 | 2015-05-14 |
1447592209 | Vinson Psychological Services, Pllc | Psychologist | 4236 Sherlie Weavil Rd, Winston Salem, NC 27107 | 2013-03-20 |
1851660385 | Gregory Javon Powell | Psychologist | 206 Crosswinds Dr, Raeford, NC 28376-7502 | 2011-12-29 |
1477792919 | Eva L. Trivett-clark | Psychologist | 134 Doctor's Drive, Boone, NC 28607 | 2009-02-06 |
1609428168 | Jenna Ellison | Psychologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-07-15 |
1003376914 | Raquan Moser | Psychologist | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2019-03-25 |
1417352568 | John William Kershner | Psychologist | 200 Hawthorne Ln, Behavioral Health Building, Charlotte, NC 28204-2515 | 2014-10-31 |
1437474244 | Northcross Medical Center | Psychologist | 16511 Northcross Dr, Suite A, Huntersville, NC 28078-5021 | 2010-04-05 |
1558566422 | Myra Ann Preston | Psychologist | 7820 Ballantyne Commons Pkwy, Suite 106, Charlotte, NC 28277-2841 | 2007-06-19 |
1366585135 | Psychotherapeutic Services | Psychologist | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-14 |
Find all providers with the same taxonomy |
City | GREENSBORO |
Zip Code | 27405 |
Please comment or provide details below to improve the information on PROFESSIONAL REHABILITATION CONSULTANTS.
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.