FAWN J FOULKS (NPI# 1639244783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639244783 |
| Entity Type | Individual |
| Full Name | FAWN J FOULKS |
| Credential | M.ED,LPC,CRC |
| Practice Address |
1135 Carter St Columbia SC 29204-2811 |
| Practice Telephone | 8037861183 |
| Practice Fax Number | 8037351021 |
| Mailing Telephone | 8037861183 |
| Mailing Fax Number | 8037351021 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4763 | SD | Behavioral Health & Social Service Providers |
| Street Address |
1135 CARTER ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679653851 | Lawrence Guy Haynes | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2006-10-16 |
| 1659739019 | Evelyn Sharnise Brown | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2016-02-01 |
| 1083094098 | Shaina Mayekar | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2015-06-04 |
| 1245648252 | Shayla Evans | Counselor | 1135 Carter St, Columbia, SC 29204-2811 | 2014-07-23 |
| 1033527999 | Shola Adebusuyi | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2014-07-23 |
| 1043624976 | Sherri Covington | Case Manager/Care Coordinator | 1135 Carter St, Columbia, SC 29204-2811 | 2014-06-18 |
| 1073947131 | Shekeena Lorraine Nash | Student in an Organized Health Care Education/Training Program | 1135 Carter St, Columbia, SC 29204-2811 | 2013-08-26 |
| 1689007387 | Elizabeth Rose Dugan | Student in an Organized Health Care Education/Training Program | 1135 Carter St, Columbia, SC 29204-2811 | 2013-08-16 |
| 1508208125 | Daniel Zeb Deweese | Counselor | 1135 Carter St, Columbia, SC 29204-2811 | 2013-07-24 |
| 1225376528 | Ashley Denise Harp | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2013-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
| 1518565928 | Family and Individual Therapeutic Healing LLC | Counselor | 300 Long Pointe Ln Ste 220-b, Columbia, SC 29229-7543 | 2020-10-16 |
| 1093321150 | Cynthia Roark | Counselor | 1021 Pinnacle Point Dr Ste 120, Columbia, SC 29223-5740 | 2020-09-23 |
| 1033722871 | Laine Jones | Counselor | 455 Saint Andrews Rd # Suittec1, Columbia, SC 29210-4486 | 2020-08-30 |
| 1952914988 | Oprah Ingram | Counselor | 9570 Two Notch Rd Ste 8, Columbia, SC 29223-4309 | 2020-08-28 |
| 1093339897 | Bryant Rogers | Counselor | 2 Hempstead Pl, Columbia, SC 29229-7762 | 2020-06-08 |
| 1821627498 | Christi Stewart | Counselor | 1809 Atascadero Dr, Columbia, SC 29206-1413 | 2020-04-06 |
| 1316577299 | Chandra Hope Mossine | Counselor | 2012 Cherry Hill Dr Ste 102b, Columbia, MO 65203-5882 | 2020-01-20 |
| 1871132233 | Patricia Dudley | Counselor | 6659 Buckstone Ct, Columbia, MD 21044-4103 | 2020-01-03 |
| 1871139790 | James Roland Blucher | Counselor | 10545 Jason Ln, Columbia, MD 21044-2212 | 2019-11-26 |
| Find all providers in COLUMBIA | ||||
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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.