DOMINIQUE LEMAR VAUGHAN (NPI# 1689192239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689192239 |
| Entity Type | Individual |
| Full Name | DOMINIQUE LEMAR VAUGHAN |
| Credential | LPC-A |
| Practice Address |
8025 N Point Blvd Ste 209 Winston Salem NC 27106 |
| Mailing Address |
2030 Woccon Path Winston Salem NC 27127-9422 |
| Practice Telephone | 8667001606 |
| Practice Fax Number | 8663385921 |
| Mailing Telephone | 3366710961 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2019-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
A13138 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
A13138 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2035 Woccon Path, Winston Salem, NC 271279422 | (336) 671-0961 | |
| 8007 N Point Blvd Ste A, Winston Salem, NC 271063268 | 8667001606 | 8663385921 |
| Street Address |
8025 N POINT BLVD STE 209 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073931523 | Cheryl Denise Ellixson | Counselor | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106-3296 | 2014-04-02 |
| 1639731953 | Rachael Sarah Boyd | Social Worker | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106-3296 | 2019-07-08 |
| 1659838936 | Holly Dawn Whicker | Counselor | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106-3296 | 2019-02-22 |
| 1669941415 | Pratiksha Desai Martin | Counselor | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106 | 2018-11-21 |
| 1255881959 | Megan Blair Anderson | Counselor | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106 | 2016-10-06 |
| 1780030270 | Jenifer Knight Shadrick | Counselor | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106 | 2016-05-13 |
| 1750736302 | Kadia Remi Warren | Counselor | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106 | 2016-05-02 |
| 1003216995 | Jeffrey Alan Simms | Counselor | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106-3296 | 2014-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723301 | Open Hearts Healing Minds | Counselor | 2714 Henning Dr Ste 4, Winston Salem, NC 27106-4502 | 2020-06-02 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1568000610 | Lynn Bentley | Counselor | 4945 Century Oaks Ln, Winston Salem, NC 27106-8721 | 2019-12-18 |
| 1467007468 | Teresa Flake | Counselor | 605 W 24 1/2 St, Winston Salem, NC 27105-4904 | 2019-08-06 |
| 1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
| 1750888038 | Moore Ways To Success LLC | Counselor | 500 W 4th St Ste 203g, Winston Salem, NC 27101-2782 | 2018-04-12 |
| 1336643386 | Aileen Imana Lassiter | Counselor | 1462 Cherry St Apt 121, Winston Salem, NC 27105-5888 | 2018-03-22 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1538676481 | Aubrey Carr Wendelboe | Counselor | 3000 Bethesda Pl Ste 103, Winston Salem, NC 27103-3323 | 2018-01-01 |
| 1528508330 | Janell Lafaye Jordan | Counselor | 5354 Villas Dr, Winston Salem, NC 27103-6462 | 2017-02-27 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
Please comment or provide details below to improve the information on DOMINIQUE LEMAR VAUGHAN.
| 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.