KERA MARSHALL (NPI# 1760970131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760970131 |
| Entity Type | Individual |
| Full Name | KERA MARSHALL |
| Practice Address |
2420 S Highway 29 Cantonment FL 32533-5808 |
| Practice Telephone | 8509683565 |
| Practice Fax Number | 8509683575 |
| Mailing Telephone | 8509683565 |
| Mailing Fax Number | 8509683575 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2420 S HIGHWAY 29 |
| City | CANTONMENT |
| State | FL |
| Zip Code | 32533-5808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497702625 | Joan B Lehmann | Family Medicine | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2006-05-31 |
| 1508336728 | Aj Mccovery | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-11-30 |
| 1376013581 | Natalie Griffith | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-11-30 |
| 1316427586 | Trey Gunnar Mancil | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-08-17 |
| 1669963542 | Peter Estepa | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-05-25 |
| 1134618390 | Ebony Latoya Pitts | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-05-03 |
| 1134617574 | Heather Joiner Bryson | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-05-01 |
| 1831687870 | Deloris Marie Johnson | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-04-25 |
| 1003304262 | Alicia V Adkins | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-04-24 |
| 1962999417 | Donna Denise Glover | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942778881 | Josie Reynolds | Behavior Technician | 3771 Stefani Road, Cantonment, FL 32533 | 2018-11-08 |
| 1013499441 | Self Haven LLC | Counselor | 1105 Carla Drive, Cantonment, FL 32533 | 2018-09-01 |
| 1104270974 | Tabitha Dugal | Nurse Practitioner | 2360 Us-29, Cantonment, FL 32533 | 2016-04-19 |
| 1912391335 | Gene Raymond Lachney Jr. | Pharmacist | 1550 S Hwy 29, Cantonment, FL 32533 | 2015-03-24 |
| 1902297922 | Sandra Darlene Nelson | Technician | 2524 Sourthern Oak Drive, Cantonment, FL 32533 | 2015-02-12 |
| 1023353695 | Laurelwood Alf | Clinic/Center | 1851 W. Ten Mile Rd, Cantonment, FL 32533 | 2012-12-07 |
| 1235409624 | Ingrid Wilson Huang | Psychologist | 2220 Parker Rd, Cantonment, FL 32533 | 2012-01-03 |
| 1104062850 | Linda Singleton | Adult Companion | 926 Booker St., Cantonment, FL 32533 | 2008-12-31 |
| 1215119193 | Cantonment Family Medicine Pa | Family Medicine | 2400 S. Hwy 29, Cantonment, FL 32533 | 2007-12-03 |
| 1386781342 | Pensacola Primary Care Inc | Family Medicine | 2360 U.S. Highway 29 South, Cantonment, FL 32533 | 2007-01-31 |
| Find all providers in zip 32533 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336728 | Aj Mccovery | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-11-30 |
| 1376013581 | Natalie Griffith | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-11-30 |
| 1316427586 | Trey Gunnar Mancil | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-08-17 |
| 1669963542 | Peter Estepa | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-05-25 |
| 1134618390 | Ebony Latoya Pitts | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-05-03 |
| 1134617574 | Heather Joiner Bryson | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-05-01 |
| 1831687870 | Deloris Marie Johnson | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-04-25 |
| 1003304262 | Alicia V Adkins | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-04-24 |
| 1962999417 | Donna Denise Glover | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-04-20 |
| 1396232740 | Devon Lamondtra Walker Sr. | Counselor | 2420 S Highway 29, Cantonment, FL 32533-5808 | 2018-04-20 |
| Find all providers in CANTONMENT | ||||
| City | CANTONMENT |
| Zip Code | 32533 |
Please comment or provide details below to improve the information on KERA MARSHALL.
| 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.