TEQUILA MARIE ESTEP (NPI# 1801410550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801410550 |
Entity Type | Individual |
Full Name | TEQUILA MARIE ESTEP |
Credential | CDCA |
Practice Address |
1870 Swauger Valley Rd Portsmouth OH 45662-9097 |
Mailing Address |
303 Gervais Rd Franklin Furnace OH 45629-8742 |
Practice Telephone | 7407169270 |
Mailing Telephone | 7402597000 |
Mailing Fax Number | 7402597003 |
Enumeration Date | 2020-05-28 |
Last Update Date | 2020-05-28 |
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) |
173593 | OH | Behavioral Health & Social Service Providers |
Street Address |
1870 SWAUGER VALLEY RD |
City | PORTSMOUTH |
State | OH |
Zip Code | 45662-9097 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
Find all providers in zip 45662 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346858305 | Gwendolyn Daniels Slade | Counselor | 9 Canoe Ct, Portsmouth, VA 23703-5380 | 2020-07-16 |
1477174126 | Hollie Sue Maund | Counselor | 1619 Chillicothe St, Portsmouth, OH 45662-3477 | 2020-05-05 |
1730748260 | Mary Yost | Counselor | 212 Islington St, Portsmouth, NH 03801-4204 | 2019-06-09 |
1871150961 | Southern Hope Recovery Center | Counselor | 4342 Gallia St Ste A, Portsmouth, OH 45662-5563 | 2019-05-23 |
1851878540 | Laura K Lennex | Counselor | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2018-07-25 |
1851880827 | Latiesha Davis Wiggins | Counselor | 355 Crawford St Ste 502, Portsmouth, VA 23704-2822 | 2018-05-06 |
1437667045 | Angela Dyke | Counselor | 1907 11th St, Portsmouth, OH 45662-4531 | 2018-01-17 |
1104338870 | Aryn Brown | Counselor | 1311 2nd St, Portsmouth, OH 45662-4602 | 2017-11-02 |
1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
1790205409 | Eileen Foley | Counselor | 14 Regina Rd, Portsmouth, NH 03801-5711 | 2017-06-23 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 45662 |
Please comment or provide details below to improve the information on TEQUILA MARIE ESTEP.
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.