MR. MICHAEL H. TEAGUE (NPI# 1700097672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700097672 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL H. TEAGUE |
| Credential | MSW, LADAC, LMSW, |
| Practice Address |
2913 King St Suite 4 Jonesboro AR 72401-5322 |
| Mailing Address |
Po Box 10040 Jonesboro AR 72401-1140 |
| Practice Telephone | 8709726199 |
| Practice Fax Number | 8709726199 |
| Mailing Telephone | 8709726199 |
| Mailing Fax Number | 8709726199 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0006-L | AR | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
758-M | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619922457 | Michael D Teague | Pathology | 907 E Lamar Alexander Parkway, Maryville, TN 37804-5012 | 2006-05-23 |
| 1639173081 | Michael Albert Teague | Plastic Surgery | 8425 Cumberland Pl, Baton Rouge, LA 70806-6544 | 2005-06-13 |
| 1750821856 | Michael Teague | Physical Therapist | 816 Keller Pkwy, #200, Keller, TX 76248-2479 | 2017-03-08 |
| 1740500602 | Michael E. Teague | Family Medicine | 1949 Hospital Dr, Martinsville, IN 46151-1861 | 2010-06-02 |
| 1720114549 | Michael Craig Teague | Psychologist | 401 Hillsborough St, Raleigh, NC 27603-1727 | 2007-02-26 |
| 1730180472 | Michael Dewitt Teague | Internal Medicine | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2005-08-03 |
| Street Address |
2913 KING ST SUITE 4 |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-5322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851453781 | Sandra Kay Ross | Counselor | 2913 King St, Suite 4, Jonesboro, AR 72401-5322 | 2006-12-15 |
| 1811287303 | Mandy Klein Lcsw, Rpt-s | Social Worker | 2913 King St, Ste 3, Jonesboro, AR 72401-5322 | 2011-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110674 | Tiffany Scott | Counselor | 9071 Jimmy Lee Cir, Jonesboro, GA 30238-7009 | 2020-09-26 |
| 1720487275 | Valerie Terreze Prince | Counselor | 149 S Mcdonough St Ste 200, Jonesboro, GA 30236-3688 | 2014-08-21 |
| 1619242856 | Maryum Hasan | Counselor | 122 Claxton Ct, Jonesboro, GA 30238-7028 | 2012-03-21 |
| 1699926154 | Northeast Arkansas Community Mental Health Center | Counselor | 3700 Access Road, Jonesboro, AR 72401-7238 | 2008-10-02 |
| 1457509754 | Lynda Denise Trice | Counselor | 1217 Stone Street, Jonesboro, AR 72401 | 2008-08-29 |
| 1144419748 | Family Empowerment Services, Inc. | Counselor | 7130 Mount Zion Blvd Ste 7, Jonesboro, GA 30236-2566 | 2007-10-18 |
| 1023185790 | Daniel A Serritella | Counselor | 172 North Ave, Jonesboro, GA 30237 | 2006-11-29 |
| 1861565574 | Robert Heath Meeks | Counselor | 484 County Road 7593, Jonesboro, AR 72401-7764 | 2006-11-17 |
| 1639736291 | Terry Lee Strode | Counselor | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2019-05-20 |
| 1306356415 | Lisa Holland | Counselor | 6009 C W Post Rd, Jonesboro, AR 72401-8139 | 2017-10-03 |
| Find all providers in JONESBORO | ||||
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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.