DIMETRIA CARRADINE (NPI# 1770198467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770198467 |
| Entity Type | Individual |
| Full Name | DIMETRIA CARRADINE |
| Practice Address |
765 E Hamilton Ave Flint MI 48505-4707 |
| Practice Telephone | 8102335340 |
| Mailing Telephone | 8102335340 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
765 E HAMILTON AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48505-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386756633 | Daniel A Martinez | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2006-08-31 |
| 1033717871 | Stephanie Creel | Peer Specialist | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-10-14 |
| 1932706348 | Sara Vanessa Williams | Peer Specialist | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-10-08 |
| 1215541545 | Stephanie Cates | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-09-03 |
| 1073126116 | Vederia L Jenkins | Peer Specialist | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-08-28 |
| 1538782610 | Wendell Ja-vone Jackson | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-05-22 |
| 1538789714 | Shmar Denise Griffin | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-04-17 |
| 1225675507 | Jolene Julie Marshall | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2019-12-05 |
| 1942844303 | Rachele Kristine Gebre | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2019-10-29 |
| 1083256754 | Michael Neal Mahon | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2019-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912402629 | New Seasons Adult Services, LLC | Clinic/Center | 1035 E. Carpenter Road, Flint, MI 48505 | 2018-03-26 |
| 1477060176 | Metro Housing Development Corporation | Home Health | 930 East Myrtle Ave, Flint, MI 48505 | 2018-01-03 |
| 1912424193 | Courtney Reed | Behavior Technician | 4121 M L King Ave, Flint, MI 48505 | 2017-08-28 |
| 1871042960 | Patricia Giltrop | Dental Hygienist | 5399 N. Saginaw Street, Flint, MI 48505 | 2016-09-29 |
| 1265886048 | New Jerusalem Enterprise Inc | Custodial Care Facility | 1015 E. Carpenter Road, Flint, MI 48505 | 2016-04-19 |
| 1699185918 | Cynthia Bolden-howard | Pharmacist | 2900 N. Saginaw St, Flint, MI 48505 | 2014-05-08 |
| 1366881112 | Barry Michael Crawford | Family Medicine | 2900 N. Saginaw Street, Flint, MI 48505 | 2013-06-14 |
| 1043413206 | Debra Ann Fields-pettigrew | Social Worker | G2138 West Carpenter Rd, Flint, MI 48505 | 2007-06-06 |
| 1164962015 | Anya Marie Harris | Dentist | 2900 N Saginaw St, Flint, MI 48505 | 2017-02-26 |
| 1982001863 | Benjamin William Dempsey-klott | Nurse Practitioner | G2138 West Carpenter Rd, Flint, MI 48505 | 2014-11-20 |
| Find all providers in zip 48505 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154857423 | Carolyn Denise Scott | Counselor | 529 M.l. King, Jr. Ave., Flint, MI 48502 | 2017-05-05 |
| 1174073480 | Rooted In Love Counseling Services | Counselor | 3397 Windland Dr, Flint, MI 48504-1764 | 2016-10-11 |
| 1518319367 | Leann Littlejohn | Counselor | 529 Ml King Ave., Flint, MI 48502 | 2016-07-05 |
| 1801255054 | Jenna Pillow | Counselor | 931 Martin Luther King Ave, Flint, MI 48503-1488 | 2016-02-16 |
| 1710344841 | Virlyn Allen-poe | Counselor | 4105 Keyes St, Flint, MI 48504-2294 | 2016-01-20 |
| 1932573706 | Larry Lenoir | Counselor | G3500 Flushing Rd Ste 250, Suite 250, Flint, MI 48504-4238 | 2015-11-17 |
| 1124499835 | Harold Hill | Counselor | 323 Allendale Pl, Flint, MI 48503-2335 | 2015-10-08 |
| 1093185712 | Jayme Gene Wagner | Counselor | 529 M. L. King, Jr. Ave, Flint, MI 48502 | 2015-10-07 |
| 1821468489 | Shaun Weck | Counselor | 529 Martin Luther King Blvd # Jr, Flint, MI 48502-2002 | 2015-09-25 |
| 1427440874 | Rasheeda Mitchell | Counselor | 2387 S Linden Rd Ste 138, Flint, MI 48532-5488 | 2015-02-23 |
| Find all providers in FLINT | ||||
Please comment or provide details below to improve the information on DIMETRIA CARRADINE.
| 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.