KATINA WILLIAMS NELSON (NPI# 1699372334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699372334 |
| Entity Type | Individual |
| Full Name | KATINA WILLIAMS NELSON |
| Practice Address |
12505 Orange Dr Ste 908 Davie FL 33330-4300 |
| Practice Telephone | 9543420982 |
| Mailing Telephone | 9543420982 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
18655 | FL | Behavioral Health & Social Service Providers |
| Street Address |
12505 ORANGE DR STE 908 |
| City | DAVIE |
| State | FL |
| Zip Code | 33330-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681137 | Carol Mirones | Social Worker | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-05-19 |
| 1548860109 | Act Florida, LLC | Community/Behavioral Health | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-10-31 |
| 1073110987 | Jessica Fernandez | Marriage & Family Therapist | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-10-04 |
| 1962009092 | Carol Mirones LLC | Social Worker | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-10-01 |
| 1639796675 | Seasons Psychotherapy Associates LLC | Psychologist | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1508365982 | Sun Coast Recovery Ranch LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Rd, Southwest Ranches, FL 33330 | 2018-02-12 |
| 1487153441 | Everglades Physicians Alliance LLC | Internal Medicine | 4745 Volunteer Road, Suite 301, Davie, FL 33330 | 2018-02-06 |
| 1639689532 | Tariq Azeez | Occupational Therapy Assistant | 4301 S Flamingo Road #101, Davie, FL 33330 | 2017-10-05 |
| 1497129597 | Right Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Road, Southwest Ranches, FL 33330 | 2015-11-30 |
| 1104202878 | Meghan Ashley Oswain | Occupational Therapist | 3141 Sw 118 Terrace, Davie, FL 33330 | 2015-08-05 |
| 1588075089 | Nicole Santiago | Respiratory Therapist, Registered | 5117 Sw 122nd Terrace, Cooper City, FL 33330 | 2014-05-19 |
| 1205180171 | Richard L. Sherman, D.d.s. | Dentist | 4725 Sw 148 Ave. Suite 203, Davie, FL 33330 | 2012-10-31 |
| 1952612996 | Vikram V Thakar | Podiatrist | 11302 Sw 55 St, Cooper City, FL 33330 | 2010-06-24 |
| 1376875344 | Carlos E. Spera, Md, Pa | Clinic/Center | 12575 Orange Drive #303, Davie, FL 33330 | 2010-02-02 |
| Find all providers in zip 33330 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889294 | Lisa J Cordero | Counselor | 12700 Trotter Blvd, Davie, FL 33330-4311 | 2020-10-25 |
| 1821600222 | Lyle Howard Milstein | Counselor | 6260 Hawkes Bluff Ave, Davie, FL 33331-3418 | 2020-08-18 |
| 1831713635 | Jennifer Silva | Counselor | 4646 Sw 107th Ter, Davie, FL 33328-3234 | 2020-06-08 |
| 1679195556 | Mindy Green | Counselor | 6562 S Anise Ct, Davie, FL 33314-3917 | 2020-05-13 |
| 1194354985 | Nakita M. Charles | Counselor | 10400 Griffin Rd Ste 304c, Davie, FL 33328-3300 | 2020-04-03 |
| 1144865478 | Childrens Corner Art Therapy for Children | Counselor | 4801 S University Dr Ste 253, Davie, FL 33328-3836 | 2019-11-11 |
| 1750931358 | Sarah Rohan | Counselor | 1713 Whitehall Dr Apt 402, Davie, FL 33324-6930 | 2019-09-16 |
| 1801350335 | Christina Pershad | Counselor | 14540 Greenbriar Pl, Davie, FL 33325-6372 | 2019-01-29 |
| 1174002711 | Susana Potter | Counselor | 11913 Sw 13th Ct, Davie, FL 33325 | 2018-08-13 |
| 1770060329 | Claudia Caprio | Counselor | 4789 Sw 148th Ave Ste 104, Davie, FL 33330-2120 | 2018-07-26 |
| Find all providers in DAVIE | ||||
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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.