CHABRE MINGO (NPI# 1780099002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780099002 |
| Entity Type | Individual |
| Full Name | CHABRE MINGO |
| Other Name | CHABRE MINGO |
| Credential | LCAS-A |
| Practice Address |
448 Lakeshore Pkwy Rock Hill SC 29730-4264 |
| Mailing Address |
1615 Waybridge Ln Apt 3b Charlotte NC 28210 |
| Practice Telephone | 8033293177 |
| Mailing Telephone | 6096350771 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NC | Behavioral Health & Social Service Providers | |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 709 E Market St, 100-b, Greensboro, NC 274013265 | 3363780109 |
| Street Address |
448 LAKESHORE PKWY |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29730-4264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568476885 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 448 Lakeshore Pkwy, Suite 205, Rock Hill, SC 29730-4264 | 2006-07-29 |
| 1285170589 | Jane Davis | Clinic/Center | 448 Lakeshore Pkwy, Rock Hill, SC 29730-4264 | 2017-01-10 |
| 1861867236 | Javonnia Muldrow | Counselor | 448 Lakeshore Pkwy, Suite 110, Rock Hill, SC 29730-4264 | 2015-12-10 |
| 1649644790 | Laura Tarnowski | Counselor | 448 Lakeshore Pkwy, Suite 205, Rock Hill, SC 29730-4264 | 2015-11-30 |
| 1184021271 | Elizabeth Seeger | Social Worker | 448 Lakeshore Pkwy, Suite 205, Rock Hill, SC 29730-4264 | 2014-12-04 |
| 1861741530 | Amanda Vance Clough | Social Worker | 448 Lakeshore Pkwy, Rock Hill, SC 29730-4264 | 2012-09-10 |
| 1730472804 | Jacqueline Allen | Counselor | 448 Lakeshore Pkwy, Suite 110, Rock Hill, SC 29730-4264 | 2011-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972132116 | Jennifer D Dawkins | Health Educator | 151 S. Oakland Ave., Rock Hill, SC 29730 | 2020-04-08 |
| 1598312969 | Erinnae Cline | Counselor | 864 Springdale Road, Rock Hill, SC 29730 | 2019-08-21 |
| 1982175139 | A&s Humans Services LLC | Meals | 1111 Southland Dr, Rock Hill, NC 29730 | 2018-12-16 |
| 1437642824 | Embrace Clinical Services LLC | Social Worker | 331 East Main Streest, Rock Hill, SC 29730 | 2018-06-11 |
| 1558852384 | Affinity Health Center - Dental | Dentist | 500 Lakeshore Parkway, Rock Hill, SC 29730 | 2018-05-29 |
| 1942729603 | Carolina Therapy Solutions for Kids, LLC | Occupational Therapy Assistant | 458 Anvil Draw Pl, Rock Hill, SC 29730 | 2017-09-13 |
| 1245750041 | Revelation Home Health Care | In Home Supportive Care | 331 E. Main Street, Rock Hill, SC 29730 | 2017-06-22 |
| 1538696703 | Ivan Alexander Carrion | Dentist | 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 | 2017-05-17 |
| 1154861045 | Community Medicine Foundation, Inc | Clinic/Center | 1140 Saluda Street, Women's Health and Pediatric /adolescent Center, Rock Hill, SC 29730 | 2017-02-27 |
| 1912447996 | Carolinas Medical Center At Home, LLC | Home Health | 226 Northpark Drive, Suite 120, Rock Hill, SC 29730 | 2017-02-24 |
| Find all providers in zip 29730 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484714 | Shira Simmons Culbreath | Counselor | 5124 Norway Ln, Rock Hill, SC 29732-8399 | 2020-10-12 |
| 1487277695 | Family Alliance Network LLC | Counselor | 331 E Main St Ste 212, Rock Hill, SC 29730-5384 | 2020-05-21 |
| 1578183745 | Michaela Mary Kelly | Counselor | 815 Willow Wood Ln Apt 104, Rock Hill, SC 29730-6692 | 2020-04-17 |
| 1386279693 | Joel Daniel Dean | Counselor | 845 Willow Wood Ln Apt 106, Rock Hill, SC 29730-0122 | 2020-03-06 |
| 1144853607 | Tiffani Coleman | Counselor | 454 Anderson Rd S Ste 326, Rock Hill, SC 29730-3398 | 2020-02-12 |
| 1710527023 | Darlene Strickland | Counselor | 454 Anderson Rd S Ste 217, Rock Hill, SC 29730-3398 | 2020-01-14 |
| 1285272104 | Amy C.l. Kulbok | Counselor | 146 E White St Ste E, Rock Hill, SC 29730-4526 | 2019-12-11 |
| 1740831197 | E and S Cares | Counselor | 454 Anderson Rd S Ste 180, Rock Hill, SC 29730-3398 | 2019-09-26 |
| 1245881689 | Ah Cares | Counselor | 454 Anderson Rd S Ste 240, Rock Hill, SC 29730-3398 | 2019-09-26 |
| 1598312969 | Erinnae Cline | Counselor | 864 Springdale Road, Rock Hill, SC 29730 | 2019-08-21 |
| Find all providers in ROCK HILL | ||||
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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.