MR. DWAYNE BARRY WOMACK II (NPI# 1689928053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689928053 |
| Entity Type | Individual |
| Full Name | MR. DWAYNE BARRY WOMACK II |
| Credential | M,A, |
| Practice Address |
106 West St Apt A6 Rocky Hill CT 06067-3567 |
| Practice Telephone | 8608332341 |
| Mailing Telephone | 8608332341 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
106 WEST ST APT A6 |
| City | ROCKY HILL |
| State | CT |
| Zip Code | 06067-3567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164924643 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 2162 Silas Dean Highway, Rocky Hill, CT 06067 | 2018-03-01 |
| 1285049304 | Edmund Swan | Optometrist | 38 Town Line Rd, Rocky Hill, CT 06067 | 2014-06-26 |
| 1962814145 | Touchpoints Homecare, LLC | Home Health | 1838 Silas Deane Hwy, Rocky Hill, CT 06067 | 2014-05-22 |
| 1649696014 | Janet Kelly | Speech-Language Pathologist | 135 Old Main Street, Rocky Hill, CT 06067 | 2014-03-10 |
| 1194147256 | George Ginsberg | Dentist | 35 Cold Spring Rd, Suite 325, Rocky Hill, CT 06067 | 2014-01-09 |
| 1679901953 | Masters In Home Care, LLC | Home Health | 40 Cold Spring Rd, Rocky Hill, CT 06067 | 2013-10-23 |
| 1154661783 | Kelly Marie Carlson | Pharmacy Technician | 30 Cold Springs Road, Rockyhill, CT 06067 | 2013-02-19 |
| 1851631683 | Tia Jean Williams | Physician Assistant | 1111 Cromwell Ave # 404, Rocky Hill, CT 06067 | 2013-02-14 |
| 1700125804 | Marisol Rodriguez | Reflexologist | 1800 Silas Deane Highway, Suite 150, Rocky Hill, CT 06067 | 2013-02-08 |
| 1790070530 | Kelly A Cronin | Nurse Practitioner | 500 Enterprise Drive, Suite 4a, Rocky Hill, CT 06067 | 2011-06-09 |
| Find all providers in zip 06067 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235536376 | Bryce Crapser | Counselor | 581 Elm St, Rocky Hill, CT 06067-2003 | 2014-12-03 |
| 1871937920 | Shauna L Bisson | Counselor | 175 Capital Blvd Ste 402, Rocky Hill, CT 06067-3914 | 2013-04-19 |
| 1073761003 | Dawn Elizabeth Satagaj | Counselor | 302 Trinity Rdg, Rocky Hill, CT 06067-1032 | 2008-09-03 |
| 1467920231 | Leigh-ann Scrivano | Counselor | 2080 Silas Deane Hwy Fl 2, Rocky Hill, CT 06067-2334 | 2018-11-09 |
| 1700021300 | Lj Behavioral Health Counseling | Counselor | 2317 Silas Deane Hwy, Rocky Hill, CT 06067-2312 | 2008-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
| 1124627575 | Heather Leigh Black | Counselor | 12 Lakeview Blvd, Avon, CT 06001-3442 | 2020-10-17 |
| 1003422114 | Infinite Potential Counseling, Inc | Counselor | 2 Pons Rd, Mystic, CT 06355-1103 | 2020-09-23 |
| 1891307682 | Sara Eve Jamison | Counselor | 129 Fieldstone Rd, Stamford, CT 06902-2581 | 2020-08-21 |
| 1023620184 | Christine Adams Osborn | Counselor | 32 Delafield Island Rd, Darien, CT 06820-6010 | 2020-08-20 |
| 1437760071 | Danielle Gofman | Counselor | 2675 Park Ave Unit 29, Bridgeport, CT 06604-1356 | 2020-08-16 |
| 1285243238 | A New Perspective Counseling Services LLC | Counselor | 37 Jenny Ln, Wolcott, CT 06716-1634 | 2020-07-27 |
| 1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
| 1952910192 | Tyrek J Pratt | Counselor | 41b New London Tpke Lowr Level, Glastonbury, CT 06033-4240 | 2020-07-23 |
| 1326656752 | Resilient Self Counseling Pllc | Counselor | 12 Pine Glen Rd, Simsbury, CT 06070-2714 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY HILL |
| Zip Code | 06067 |
Please comment or provide details below to improve the information on MR. DWAYNE BARRY WOMACK II.
| 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.