MRS. MARIE RACKLEY PADDOCK (NPI# 1669995874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669995874 |
Entity Type | Individual |
Full Name | MRS. MARIE RACKLEY PADDOCK |
Other Name | MS. MARIE ANN RACKLEY |
Credential | LPC, NCC, EMDR |
Practice Address |
1186 Fairview Rd N Chatham VA 24531-3384 |
Mailing Address |
929 Double Bridge Rd Chatham VA 24531-4391 |
Practice Telephone | 4347704326 |
Practice Fax Number | 4344324305 |
Mailing Telephone | 4347704326 |
Mailing Fax Number | 4344324305 |
Enumeration Date | 2017-07-19 |
Last Update Date | 2017-07-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | 0701007122 | VA | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
0701007122 | VA | Behavioral Health & Social Service Providers |
Street Address |
1186 FAIRVIEW RD N |
City | CHATHAM |
State | VA |
Zip Code | 24531-3384 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124585872 | Joelle Shelton Bray | Physical Therapy Assistant | 101 Rorer Street, Chatham, VA 24531 | 2019-02-28 |
1629534680 | Ken L Stone | Driver | 129 Price St, Chatham, VA 24531 | 2019-02-14 |
1912414343 | Sarah Kathryn Barker | Speech-Language Pathologist | 29 Bank Street, Chatham, VA 24531 | 2018-01-08 |
1235646845 | Wissota Dialysis LLC | Clinic/Center | 13912 Us Highway 29, Chatham, VA 24531 | 2018-01-04 |
1063927127 | Carrie Smith Touart | Speech-Language Pathologist | 39 Main St Se, Chatham, VA 24531 | 2017-12-11 |
1558889667 | Latasha M Vamper | Case Manager/Care Coordinator | 2025 Spring Garden Road, Chatham, VA 24531 | 2017-09-08 |
1760868210 | Allison Lindsey Weaver | Physical Therapist | 47 Depot St, Chatham, VA 24531 | 2015-08-07 |
1083090195 | Lyndsey Pickeral | Physical Therapy Assistant | 740 Dry Bridge Road, Chatham, VA 24531 | 2015-07-31 |
1619103611 | Susan Keatts | Licensed Practical Nurse | 792 North Fairview Rd, Chatham, VA 24531 | 2009-06-04 |
1790910875 | West Piedmont Healthcare Group, Inc. | Skilled Nursing Facility | 100 Rorer Road, Chatham, VA 24531 | 2009-05-19 |
Find all providers in zip 24531 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134747256 | Olive Tree Counseling, LLC | Counselor | 1186 Fairview N, Chatham, VA 24531-3384 | 2020-07-07 |
1578984050 | Kathy Elizabeth Larkin | Counselor | 25 Hickory Pl Apt D24, Chatham, NJ 07928-1482 | 2013-12-30 |
1275707952 | Find Your Way Counseling & Play Therapy Inc | Counselor | 25 Reid St, Suite A, Chatham, VA 24531-0433 | 2008-04-15 |
1023168499 | Ariela Halfin | Counselor | 64 Dale Dr, Chatham, NJ 07928-1639 | 2007-01-10 |
1114006210 | Chatham Presbyterian Church | Counselor | 1835 E Walnut St, Chatham, IL 62629-1578 | 2006-11-02 |
1770597718 | Suzanne Wood Sanford | Counselor | 25 Reid Street, Chatham, VA 24531 | 2006-07-27 |
1508371410 | Lauren Deibler Gorman | Counselor | 368 Main St, Chatham, NJ 07928-2112 | 2017-12-14 |
1346755683 | Postpartum Health & Harmony LLC | Counselor | 368 Main St, Chatham, NJ 07928-2112 | 2017-12-08 |
1427583525 | Elizabeth Anne Glanzman | Counselor | 414 Main St, Chatham, NJ 07928-2145 | 2017-04-26 |
1215237540 | Deborah S Crowe | Counselor | 25 Reid Street, Chatham, VA 24531-0433 | 2010-11-03 |
Find all providers in CHATHAM |
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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.