SHAWN MITCHELL I (NPI# 1629503982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629503982 |
| Entity Type | Individual |
| Full Name | SHAWN MITCHELL I |
| Credential | CADC |
| Practice Address |
1312 W Collin Raye Dr De Queen AR 71832-2135 |
| Mailing Address |
360 Utah St Avery TX 75554-2600 |
| Practice Telephone | 8705847115 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1675 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609829 | Shawn Anthony Mitchell | Dentist | 1480 Quarterpath Rd Ste 2a, Williamsburg, VA 23185-6531 | 2018-08-21 |
| 1720490063 | Shawn Michael Mitchell | Dentist | 4950 Centre Pointe Dr Ste 114, North Charleston, SC 29418-6929 | 2014-05-21 |
| 1780622647 | Shawn A. Mitchell | Dentist | 304 Glen Ave, Valparaiso, FL 32580-1233 | 2006-06-03 |
| 1750909008 | Shawn Jeffery Mitchell | Nurse Practitioner | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2020-07-13 |
| 1831354190 | Shawn B Mitchell | Physician Assistant | 1326 E Little Creek Rd, Norfolk, VA 23518-3952 | 2008-07-25 |
| Street Address |
1312 W COLLIN RAYE DR |
| City | DE QUEEN |
| State | AR |
| Zip Code | 71832-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235108663 | Sheree Moskow | Psychologist | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2006-03-17 |
| 1730786963 | Sonya Steward | Counselor | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2020-10-01 |
| 1760028708 | Samantha Banhart | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2019-11-25 |
| 1023666351 | Just Wade Younger | Social Worker | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2019-08-29 |
| 1891349676 | Miriam Carreon Morales | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2019-07-30 |
| 1841855012 | Janice Elizabeth Ocampo | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2019-05-03 |
| 1225544315 | Alissa Loren Berruquin | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2017-12-27 |
| 1639605587 | Michael Wayne Barnes | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2017-05-11 |
| 1215397104 | Kimberly Johnson | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2016-03-04 |
| 1952787327 | Zachary W Pinson | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2015-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487149985 | Healthcare Express, LLP | Clinic/Center | 1021 W. Collin Raye Dr., Dequeen, AR 71832 | 2018-06-27 |
| 1982963781 | Callie Montana Miller | Specialist/Technologist | 194 Choctaw Trail, Dequeen, AR 71832 | 2012-05-14 |
| 1023376589 | Dequeen Medical Center | Rehabilitation Hospital | 1306 W Collin Dr., Dequeen, AR 71832 | 2012-05-02 |
| 1083971428 | Renee Logan | Pharmacist | 205 W De Queen Ave., De Queen, AR 71832 | 2012-04-23 |
| 1538434295 | Angela Kay Martin | Nurse Practitioner | 1302 W. Collin Raye Dr., Suite A, Dequeen, AR 71832 | 2012-03-14 |
| 1386950624 | Charles Norman Alston IIi | Dentist | 110 W. De Queen Avenue, De Queen, AR 71832 | 2010-08-24 |
| 1609181783 | De Queen Medical Center Inc | Home Health | 1007 N 14th St, De Queen, AR 71832 | 2010-08-12 |
| 1821301466 | Claire Terece Russell | Nurse Practitioner | 500 E. Collin Raye Dr, Dequeen, AR 71832 | 2010-07-25 |
| 1043445455 | Smiles of Arkansas Dental Center, Pllc | Dentist | 110 West Dequeen Avenue, Suite B, Dequeen, AR 71832 | 2009-05-29 |
| 1538319496 | Kerri Allison Ross | Speech-Language Pathologist | 122 Crestwood Dr., Dequeen, AR 71832 | 2008-09-26 |
| Find all providers in zip 71832 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786963 | Sonya Steward | Counselor | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2020-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870389 | Zabrina Zennile Weaver | Counselor | 407 W 35th Ave, Pine Bluff, AR 71603-6083 | 2020-08-06 |
| 1366051088 | Katreasa L Cwright | Counselor | 224 South 5th St, Madison, AR 72359 | 2020-07-28 |
| 1679100549 | Collin Roe | Counselor | 1200 W Walnut St Ste 1115, Rogers, AR 72756-3521 | 2020-03-23 |
| 1316587850 | Friends of Freedom House Inc. | Counselor | 404 Lake Front Drive, Russellville, AR 72802 | 2020-01-13 |
| 1871158469 | Jerry Rushing | Counselor | 6301 Father Tribou St, Little Rock, AR 72205-3003 | 2019-05-08 |
| 1386113421 | Stephanie Jade Moore | Counselor | 1104 Vine Street, Batesville, AR 72501-8638 | 2018-11-19 |
| 1144705872 | The Family Institute of Arkansas | Counselor | 425 W Broadway St Ste H, North Little Rock, AR 72114-5576 | 2018-09-27 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1831680909 | Greg Dupriest | Counselor | 1239 Alma North St, Alma, AR 72921-4602 | 2018-05-24 |
| 1609366350 | Eric Dominic Parks | Counselor | 7000 N State Line Ave, Texarkana, AR 71854-8100 | 2018-05-17 |
| Find all providers with the same taxonomy | ||||
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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.