BONNIE SELBY (NPI# 1649384777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649384777 |
| Entity Type | Individual |
| Full Name | BONNIE SELBY |
| Practice Address |
1109 E. Main Street Melbourne AR 72556 |
| Mailing Address |
Po Box 725 Melbourne AR 72556-0725 |
| Practice Telephone | 8703684397 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
880-C | AR | Behavioral Health & Social Service Providers |
| Street Address |
1109 E. MAIN STREET |
| City | MELBOURNE |
| State | AR |
| Zip Code | 72556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427294008 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 1109 E. Main Street, Melbourne, AR 72556 | 2009-01-02 |
| 1467599522 | Coby Ayers | Case Manager/Care Coordinator | 1109 E. Main Street, Melbourne, AR 72556 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143950 | Brad Wheelis Family Dentistry Pllc | Clinic/Center | 1218 East Main St, Melbourne, AR 72556 | 2020-08-06 |
| 1932742640 | Abby Everett | Pharmacist | 803 E Main Street, Melbourne, AR 72556 | 2019-10-25 |
| 1154849065 | Baxter Regional Health System | Nurse Practitioner | 1019 East Main Street, Melbourne, AR 72556 | 2017-08-31 |
| 1265955512 | Kids El Melbourne | Pediatrics | 889 East Main, Melbourne, AR 72556 | 2017-07-19 |
| 1245752070 | Morgan Brittany Shirley | Nurse Practitioner | 1019 E. Main St., Melbourne, AR 72556 | 2017-07-13 |
| 1467988725 | Anita Love | Case Manager/Care Coordinator | 637 Esat Main St, Melbourne, AR 72556 | 2017-05-05 |
| 1558729236 | Regan Tharp | Developmental Therapist | 889 E. Main, Melbourne, AR 72556 | 2016-02-09 |
| 1740693274 | Richard Thomas Keefer | Social Worker | 637 East Main St, Melbourne, AR 72556 | 2014-06-02 |
| 1164858437 | Mary Grice Duncan | Pharmacist | 600 N. Main Street, Suite C, Melbourne, AR 72556 | 2013-09-18 |
| 1265871248 | Kidspiration Pediatric Therapy Services Too, Inc. | Clinic/Center | 905 East Main St, Melbourne, AR 72556 | 2013-06-23 |
| Find all providers in zip 72556 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415944 | Danielle Neal | Counselor | 4173 Palladian Way, Melbourne, FL 32904-1210 | 2020-10-21 |
| 1063022317 | 21 Vets Incorporated | Counselor | 4908 Fauna Dr, Melbourne, FL 32934-7847 | 2020-08-03 |
| 1528689122 | Ichoose Change, LLC | Counselor | 1600 Malabar Rd, J-119, Melbourne, FL 32935-1408 | 2020-05-05 |
| 1588283683 | Benah Counseling LLC | Counselor | 3270 Suntree Blvd Ste 155-157, Melbourne, FL 32940-7530 | 2020-04-09 |
| 1033755376 | Tiffany Brown | Counselor | 8080 Kingswood Way, Melbourne, FL 32940-2191 | 2019-11-21 |
| 1245893403 | Adrianne Vyasulu Leonhardt | Counselor | 3230 Arden Cir, Melbourne, FL 32934-8772 | 2019-04-15 |
| 1801356480 | Neeley Renee Hughey | Counselor | 3270 Suntree Blvd Ste 121, Melbourne, FL 32940-7540 | 2019-03-21 |
| 1487135596 | Dyeanna Fuller | Counselor | 1600 W Eau Gallie Blvd Ste 201f, Melbourne, FL 32935-4149 | 2018-08-27 |
| 1811489925 | Wendy Leonard Hixon | Counselor | 1900 S Harbor City Blvd Ste 211, Melbourne, FL 32901-4760 | 2018-06-04 |
| 1639682297 | Senior Counseling Group, LLC | Counselor | 3270 Suntree Blvd Ste 2217, Melbourne, FL 32940-7558 | 2017-11-06 |
| Find all providers in MELBOURNE | ||||
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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.