MS. BEVERLY WHITEHEAD FAIRCHILD (NPI# 1841464690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841464690 |
Entity Type | Individual |
Full Name | MS. BEVERLY WHITEHEAD FAIRCHILD |
Credential | M.S., LCPC, NCC |
Practice Address |
953 Hoffmaster Rd Knoxville MD 21758-1216 |
Practice Telephone | 3018346039 |
Mailing Telephone | 3018346039 |
Enumeration Date | 2008-04-14 |
Last Update Date | 2008-04-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LCO350 | MD | Behavioral Health & Social Service Providers |
Street Address |
953 HOFFMASTER RD |
City | KNOXVILLE |
State | MD |
Zip Code | 21758-1216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104356724 | Jenna Starr | Behavioral Analyst | 3611 S Mountain Rd, Knoxville, MD 21758 | 2017-06-15 |
1144273590 | Joseph Louis Konzelman Jr. | Dentist | 114 Galyn Dr, Brunswick, MD 21758 | 2006-05-18 |
1124653597 | Jami Nelson | Behavior Technician | 1524 Clover Hill Ln, Knoxville, MD 21758-1105 | 2020-03-06 |
1093160905 | Holly Knill | Counselor | 2168 Reed Rd, Knoxville, MD 21758-1124 | 2016-04-28 |
1881060143 | Lindsey Gill Carter | Dietitian, Registered | 1008 Weverton Rd, Knoxville, MD 21758-1412 | 2015-08-20 |
1083851315 | Blue Ridge Physical Therapy, LLC | Specialist | 1833 Point of Rocks Rd, Knoxville, MD 21758-9024 | 2009-01-08 |
1760606727 | Teresa Ann Winder | Occupational Therapist | 1 Donovan Ct, Brunswick, MD 21758-9028 | 2007-04-12 |
1699074559 | Donny Wendell Smith | Social Worker | 3745 Maplecrest Dr, Knoxville, MD 21758-9118 | 2011-03-17 |
1104866342 | Kelly Anne Price | Social Worker | 2212 Jefferson Pike, Knoxville, MD 21758-9213 | 2006-06-07 |
1881075109 | Centrepointe Counseling, Inc. | Counselor | 2212 Jefferson Pike, Knoxville, MD 21758-9213 | 2015-06-11 |
Find all providers in zip 21758 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407454291 | Candis Maria Cochran | Counselor | 10740 Faith Promise Ln, Knoxville, TN 37931-1304 | 2020-10-14 |
1508471798 | Stephanie Mclain Wasserman | Counselor | 10411 Kates Path Ln, Knoxville, TN 37932-1574 | 2020-09-14 |
1639703747 | Catherine Ellen Hallam | Counselor | 408 N Cedar Bluff Rd Ste 305, Knoxville, TN 37923-3648 | 2020-02-27 |
1073144507 | Amy Lynn Dilworth | Counselor | 8700 Trapper Ln, Knoxville, TN 37931-4258 | 2020-02-03 |
1942792130 | Shannon Susanne Mcbride | Counselor | 8848 Cedar Springs Ln Ste 201, Knoxville, TN 37923-5416 | 2018-06-04 |
1487144283 | Wiest-barbian Counseling and Consulting LLC | Counselor | 1400 N 6th Ave, Knoxville, TN 37917-6043 | 2018-05-16 |
1043713985 | Lakshmi Rekha Subbanna | Counselor | 714 Fox Landing Ln, Knoxville, TN 37922-8306 | 2018-03-16 |
1245733401 | Amy L. Skinner | Counselor | 10426 Jackson Oaks Way Ste 102, Knoxville, TN 37922-0709 | 2018-03-14 |
1194227843 | Tracy Marie Serrano | Counselor | 9724 Kingston Pike Ste 605, Knoxville, TN 37922-6900 | 2018-03-07 |
1811499841 | Jeffery Cockerham | Counselor | 5364 N Broadway St, Knoxville, TN 37918-3238 | 2018-03-06 |
Find all providers in KNOXVILLE |
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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.