MS. BEVERLY WHITEHEAD FAIRCHILD


Address: 953 Hoffmaster Rd, Knoxville, MD 21758-1216
Phone: 3018346039

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LCO350 MD Behavioral Health & Social Service Providers

Office Location

Street Address 953 HOFFMASTER RD
City KNOXVILLE
State MD
Zip Code 21758-1216

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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
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City KNOXVILLE
Zip Code 21758

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Dataset Information

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.

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