MRS. MEISSA DAVIS BROCK


Address: 1041 Washington St, Raleigh, NC 27605-1259
Phone: 8883054321

MRS. MEISSA DAVIS BROCK (NPI# 1730401597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730401597
Entity Type Individual
Full Name MRS. MEISSA DAVIS BROCK
Credential LCAS
Practice Address 1041 Washington St
Raleigh
NC 27605-1259
Mailing Address 101 Mckayla Ln
Goldsboro
NC 27530-9277
Practice Telephone 8883054321
Mailing Telephone 9197356771
Enumeration Date 2010-02-22
Last Update Date 2011-05-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
921 NC Behavioral Health & Social Service Providers

Office Location

Street Address 1041 WASHINGTON ST
City RALEIGH
State NC
Zip Code 27605-1259

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1487087722 Cornelius Toliver Pharmacist 815 Oberlin Road, Raleigh, NC 27605 2013-08-09
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1275627739 Paige Corinne Tharrington Counselor 800 St. Mary's Street, Suite 401, Raleigh, NC 27605 2006-10-02
1699740118 Mary Sue Huelsbeck Psychologist 629 Oberlin Road, Raleigh, NC 27605 2006-02-19
1245215177 Ashley H Lloyd Dentist 1330 St. Marys St, Suite B30, Raleigh, NC 27605 2005-12-14
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1215582432 Emily Trapp Counselor 723 W Johnson St Ste 100, Raleigh, NC 27603-1244 2019-08-05
1841858875 Barry Ray Wallace Jr. Counselor 2101 Garner Rd #107, Raleigh, NC 27610-3790 2019-06-04
1689130445 Adewumi Gabriel Ojo Counselor 3204 Cotton Grove Run, Raleigh, NC 27610-6264 2019-02-18
1306310321 Nakima Mechelle Morrison Counselor 5213 Chasteal Trl, Raleigh, NC 27610-6606 2019-01-12
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Competitor

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City RALEIGH
Zip Code 27605

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Dataset Information

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.

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