DOMINIQUE DAVID (NPI# 1649637604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649637604 |
| Entity Type | Individual |
| Full Name | DOMINIQUE DAVID |
| Practice Address |
3000 Lee Road 279 Salem AL 36874-4776 |
| Practice Telephone | 7066174315 |
| Mailing Telephone | 7066174315 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
3000 LEE ROAD 279 |
| City | SALEM |
| State | AL |
| Zip Code | 36874-4776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277594 | Shelisa Rena Taylor | Nurse Practitioner | 1126 Lee Road 250, Salem, AL 36874-1373 | 2018-12-19 |
| 1285247908 | Tracy Jean Payton | Nurse Practitioner | 3898 Lee Road 250, Salem, AL 36874-1450 | 2020-08-24 |
| 1548681794 | Elizabeth Shiver | Contractor | 5745 Lee Road 145, Salem, AL 36874-2042 | 2013-12-13 |
| 1831659176 | Kalima E Rembert | Contractor | 200 Lee Road 2126, Salem, AL 36874-2161 | 2019-03-22 |
| 1497137954 | Stephanie L Bruce | Counselor | 55a Woody Acres Dr, Salem, AL 36874-3213 | 2015-06-22 |
| 1356643464 | Angela L. Blackman | Nurse's Aide | 4653 Lee Road 379, Salem, AL 36874-3607 | 2010-11-22 |
| 1356992663 | Dorothy Adkins | Technician | 383 Lee Road 334, Salem, AL 36874-3713 | 2019-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518448 | Shira Lauren Dragun | Clinic/Center | 63 1/2 Jefferson Ave, Salem, MA 01970-2975 | 2020-11-03 |
| 1013517382 | Margaret Kilczewski | Registered Nurse | 12 Cousins St, Salem, MA 01970-5229 | 2020-10-27 |
| 1225638463 | Troy Sanfilippo | Optometrist | 286 Laurelwood Dr, Salem, CT 06420-3937 | 2020-10-27 |
| 1699374660 | Sarah Ilana Katz | Physician Assistant | 11a Laurel St, Salem, MA 01970-4657 | 2020-10-21 |
| 1750989307 | Light Point Labs LLC | Clinical Medical Laboratory | 56 Stiles Rd Ste 204, Salem, NH 03079-4807 | 2020-10-15 |
| 1821696667 | Just for You Counseling | Clinic/Center | 130 Main St Ste 201d, Salem, NH 03079-3173 | 2020-10-14 |
| 1447858642 | Salem Health Care Group LLC | Clinic/Center | 501 North Hayden Avenue, Salem, KY 42028 | 2020-10-12 |
| 1306444641 | Zachary Wright | Physician Assistant | 11 Harley Ln, Salem, NH 03079-2888 | 2020-10-09 |
| 1730786740 | Julie Lynn Perkins | Counselor | 26394 Highway C, Salem, MO 65560-8655 | 2020-10-02 |
| 1659978880 | Deirdre Jean Miller | Counselor | 1101 N Jim Day Rd Ste 109, Salem, IN 47167-5201 | 2020-10-01 |
| Find all providers in SALEM | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824956 | Olivia Mandracchia | Counselor | 43 Bridge St Unit 2, Salem, MA 01970-4124 | 2020-09-08 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1821629569 | Kristin Cordy | Counselor | 1 Orchard Ter, Salem, MA 01970-2406 | 2020-01-31 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1124507330 | Bright Leaf Counseling and Wellness Center, LLC | Counselor | 25 E Main St Ste C, Salem, VA 24153-3806 | 2018-08-08 |
| 1063905966 | Katilyn Dalton-wise | Counselor | 18 Ward St # 1, Salem, MA 01970-5025 | 2018-06-14 |
| 1487144986 | Effective Foundations Counseling and Consultation Services | Counselor | 280 Court St Ne Ste 205, Salem, OR 97301-3443 | 2018-05-10 |
| 1699282913 | Williams English | Counselor | 35 Congress St Ste 2, Salem, MA 01970-5567 | 2018-01-08 |
| 1235678053 | Douglas Mariano | Counselor | 198 Lafayette St. Apt 2, Salem, MA 01970-4735 | 2017-02-13 |
| 1609328269 | Margaret Lilley | Counselor | 40 Mason St, Unit 4, Salem, MA 01970 | 2016-10-31 |
| Find all providers in SALEM | ||||
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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.