MR. CORY ANTHONY RUSSELL (NPI# 1720498785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720498785 |
| Entity Type | Individual |
| Full Name | MR. CORY ANTHONY RUSSELL |
| Other Name | MR. CORY ANTHONY RUSSELL |
| Credential | LPCI |
| Practice Address |
438 Barnwell Rd Allendale SC 29810 |
| Mailing Address |
1050 Ribaut Rd Beaufort SC 29902-5400 |
| Practice Telephone | 8035844636 |
| Mailing Telephone | 8435248899 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2015-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6131 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790748028 | Cory L Russell | Family Medicine | 2570 Nw Edenbower Blvd., Ste 100, Roseburg, OR 97471 | 2006-04-08 |
| Street Address |
438 BARNWELL RD |
| City | ALLENDALE |
| State | SC |
| Zip Code | 29810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457444218 | James Freeman | Counselor | 603 Barnwell Road, Allendale, SC 29810 | 2006-10-02 |
| 1306949656 | Christy Jinks | Counselor | 603 Barnwell Rpad, Allendale, SC 29810 | 2006-09-05 |
| 1083693832 | Allendale County Rescue Squad Inc | Ambulance | 606 Hickory St, Allendale, SC 29810 | 2006-01-11 |
| 1407906878 | Allendale County Hospital Board | Clinic/Center | 623 Memorial Ave N, Allendale, SC 29810 | 2007-01-10 |
| 1295039717 | Inspiring Growth Counseling Services | Community/Behavioral Health | 279-b Hickory Street, Allendale, SC 29810-1080 | 2010-12-23 |
| 1700980240 | Yokina K. Williams | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2006-09-12 |
| 1851840862 | India Curry | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2016-10-03 |
| 1851572796 | Natashia L Felder | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2007-11-20 |
| 1902951510 | Katherine Elizabeth Tharin | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2007-01-24 |
| 1578623914 | Gregory Nathan Fancher | Psychologist | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2006-12-08 |
| Find all providers in zip 29810 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730664970 | P&t Therapy Group LLC | Counselor | 989 Water St, Allendale, SC 29810-3413 | 2018-10-02 |
| 1669702908 | Jennifer Michelle Politis | Counselor | 70 W Allendale Ave Ste D, Allendale, NJ 07401-1798 | 2010-01-08 |
| 1366564601 | Mary Ellen M Stiehl | Counselor | 175 E Crescent Ave, Allendale, NJ 07401 | 2007-04-06 |
| 1457444218 | James Freeman | Counselor | 603 Barnwell Road, Allendale, SC 29810 | 2006-10-02 |
| 1700980240 | Yokina K. Williams | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2006-09-12 |
| 1306949656 | Christy Jinks | Counselor | 603 Barnwell Rpad, Allendale, SC 29810 | 2006-09-05 |
| 1144866542 | Beautiful Journey Counseling | Counselor | 70 W Allendale Ave Ste D, Allendale, NJ 07401-1798 | 2019-11-20 |
| 1447801675 | Rachel A Calabrese | Counselor | 70 W Allendale Ave, Fl 2, Suite D, Allendale, NJ 07401-1798 | 2019-09-29 |
| 1558912634 | Rosen & Saul Associates, LLC | Counselor | 115 W Allendale Ave, Allendale, NJ 07401-1734 | 2019-09-20 |
| 1851840862 | India Curry | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2016-10-03 |
| Find all providers in ALLENDALE | ||||
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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.