MR. LAWRENCE CARLTON STARKE II (NPI# 1609832070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609832070 |
| Entity Type | Individual |
| Full Name | MR. LAWRENCE CARLTON STARKE II |
| Credential | L.P.C. |
| Practice Address |
1742 Berkeley Ave Petersburg VA 23805-2806 |
| Mailing Address |
116 W Broad St Blackstone VA 23824-1710 |
| Practice Telephone | 8047334494 |
| Practice Fax Number | 8047339066 |
| Mailing Telephone | 4342921104 |
| Mailing Fax Number | 4342921134 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2013-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701003843 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010243696 | 05 | |
| VA | ANTHEM | 188470 | 01 |
| VA | SENTARA | 087775M | 01 |
| Street Address |
1742 BERKELEY AVE |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124679147 | Supportive Solution LLC | Counselor | 325b Brown St, Petersburg, VA 23803-4247 | 2019-09-20 |
| 1083179451 | Amanda Hill | Counselor | 19531 Hunt Rd, Petersburg, IL 62675-6054 | 2019-02-09 |
| 1942778725 | Charity Kene Thompson | Counselor | 300 Addison Way Apt 5-1c, Petersburg, VA 23805-9180 | 2018-11-09 |
| 1427564202 | Felicia Michelle Smith | Counselor | 3555 S Crater Rd, Petersburg, VA 23805-9210 | 2017-12-15 |
| 1922549807 | Bonnie Cantu | Counselor | 2104 E 1st St, Petersburg, TX 79250 | 2017-03-13 |
| 1811447584 | Melissa O. Motley Moore | Counselor | 1920 Matoax Ave, Petersburg, VA 23805-2843 | 2016-10-06 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1629424353 | Jessica Lorita Thomas | Counselor | 20 W Bank St Ste 6, Petersburg, VA 23803-3279 | 2016-05-12 |
| 1306270012 | Catherine Bockmier-sommers | Counselor | 21799 Hideaway Estates Rd, Petersburg, IL 62675-6282 | 2013-08-29 |
| 1588944151 | The Outreach Foundation, LLC | Counselor | 20 E Tabb St, Suite 201, Petersburg, VA 23803-4541 | 2011-08-26 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
Please comment or provide details below to improve the information on MR. LAWRENCE CARLTON STARKE II.
| 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.