CANDY RAFAL (NPI# 1790903201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790903201 |
| Entity Type | Individual |
| Full Name | CANDY RAFAL |
| Practice Address |
11975 Seaway Rd Gulfport MS 39503 |
| Mailing Address |
1465 Lakeland Dr Jackson MS 39216-4719 |
| Practice Telephone | 2288634992 |
| Mailing Telephone | 6054158835 |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 W Springdale Ave, Knoxville, TN 379175158 | 8656379711 | 8655416942 |
| Street Address |
11975 SEAWAY RD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558437335 | Barbara F. Roberts | Physical Therapist | 11975 Seaway Rd, Suite A226, Gulfport, MS 39503-6015 | 2006-11-26 |
| 1649716762 | Shedra Johnson | Social Worker | 11975 Seaway Rd, A230, Gulfport, MS 39503-6015 | 2017-01-12 |
| 1023365723 | Stephanie Daniele Neese | Case Manager/Care Coordinator | 11975 Seaway Rd, Gulfport, MS 39503-6015 | 2012-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582418 | Monica Jean Davis | Counselor | 1601 49th St S, Gulfport, FL 33707-4340 | 2020-09-09 |
| 1396380234 | Jasmine L. Smith | Counselor | 1520 29th Ave Ste 3, Gulfport, MS 39501-2843 | 2019-11-14 |
| 1437710605 | Bridgette Denise Harris | Counselor | 12450 Three Rivers Rd # A-13, Gulfport, MS 39503-2970 | 2019-06-27 |
| 1174010292 | Charla Ann Wilson | Counselor | 2352 E Pass Rd, Gulfport, MS 39507-3805 | 2018-04-13 |
| 1851808893 | Cori L Walker | Counselor | 3427 Washington Ave, Gulfport, MS 39507-3039 | 2017-12-29 |
| 1467964270 | Melissa Lee Georgopolis | Counselor | 5800 20th Ave S, Gulfport, FL 33707-4050 | 2017-11-02 |
| 1376928697 | Holly Arnoult | Counselor | 240b Courthouse Rd, Gulfport, MS 39507-1214 | 2015-07-28 |
| 1942696596 | Debra Steinfeld | Counselor | 1608 53rd St S, Gulfport, FL 33707-4237 | 2015-04-10 |
| 1538500350 | Jaime Kathryn Parker | Counselor | 370 Courthouse Rd Ste 102, Gulfport, MS 39507-1889 | 2013-07-09 |
| 1215279047 | Estelle Lacoste Robinson | Counselor | 1455 E Pass Rd, B, Gulfport, MS 39507-3523 | 2013-03-19 |
| Find all providers in GULFPORT | ||||
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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.