CARRIE PARDON (NPI# 1669933842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669933842 |
Entity Type | Individual |
Full Name | CARRIE PARDON |
Credential | LLPC |
Practice Address |
3668 Livernois Rd Troy MI 48083-5035 |
Mailing Address |
3577 Blue Heron Ln Rochester Hills MI 48309-4514 |
Practice Telephone | 2488605255 |
Mailing Telephone | 2488605255 |
Enumeration Date | 2019-03-28 |
Last Update Date | 2019-03-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
6401017076 | MI | Behavioral Health & Social Service Providers |
Street Address |
3668 LIVERNOIS RD |
City | TROY |
State | MI |
Zip Code | 48083-5035 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
Find all providers in zip 48083 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417561945 | Jennifer Nichole Susan | Counselor | 1080 Kirts Blvd Ste 100, Troy, MI 48084-4853 | 2020-09-02 |
1275151631 | Kristin Colleen Ansel | Counselor | 838 Norwich Dr, Troy, MI 48084-2630 | 2020-07-10 |
1376167221 | Paula Denyes, Ma, Lpc, LLC | Counselor | 5705 Whitfield Dr, Troy, MI 48098-5112 | 2020-06-05 |
1750914818 | Karen Haley Cersley | Counselor | 5578 Richmond Rd Ste 203, Troy, VA 22974-4421 | 2020-02-18 |
1750920922 | Kimberly Lynn Roberts | Counselor | 68 Shirley Dr, Troy, MO 63379-6304 | 2020-01-05 |
1619532165 | Leslie Myers | Counselor | 116 E Missoula Ave, Troy, MT 59935-5993 | 2019-05-09 |
1265999353 | Jaime Collins | Counselor | 2489 Derby Rd, Troy, MI 48084-2663 | 2019-02-25 |
1255804126 | Natalie Elizabeth Grierson | Counselor | 305 Public Sq Ste 1, Troy, OH 45373-3894 | 2019-01-03 |
1538630231 | Felicia K Ewing | Counselor | 197 E Us Highway 40, Troy, IL 62294-2262 | 2018-12-06 |
1881176105 | Mark Dixon Yancy Sr. | Counselor | 5869 Marble Dr, Troy, MI 48085-3967 | 2018-09-04 |
Find all providers in TROY |
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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.