TELENA T HARMON (NPI# 1902430887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902430887 |
| Entity Type | Individual |
| Full Name | TELENA T HARMON |
| Practice Address |
3452 Pascagoula St Ste 3 Pascagoula MS 39567-3203 |
| Mailing Address |
860 E River Pl Ste 100 Jackson MS 39202-3442 |
| Practice Telephone | 2287128024 |
| Practice Fax Number | 2287128027 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
3452 PASCAGOULA ST STE 3 |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39567-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376909945 | Ashley Reed | Technician, Other | 3452 Pascagoula St Ste 3, Pascagoula, MS 39567-3203 | 2016-01-12 |
| 1316563703 | Carnetta Keeton | Social Worker | 3452 Pascagoula St Ste 3, Pascagoula, MS 39567-3203 | 2020-06-22 |
| 1801415682 | Mary Lisa Valeros | Counselor | 3452 Pascagoula St Ste 3, Pascagoula, MS 39567-3203 | 2020-04-13 |
| 1467087551 | Brittany Vanquale Miller | Counselor | 3452 Pascagoula St Ste 3, Pascagoula, MS 39567-3203 | 2020-03-09 |
| 1871123091 | Laura Irene Golovin-greer | Social Worker | 3452 Pascagoula St Ste 3, Pascagoula, MS 39567-3203 | 2020-01-16 |
| 1225671647 | Marianne Cabrera-arroyo | Social Worker | 3452 Pascagoula St Ste 3, Pascagoula, MS 39567-3203 | 2019-10-18 |
| 1619435567 | Brandy Monique Kyse | Counselor | 3452 Pascagoula St Ste 3, Pascagoula, MS 39567-3203 | 2019-03-11 |
| 1891285920 | Quinta Santrez Anderson | Counselor | 3452 Pascagoula St Ste 3, Pascagoula, MS 39567-3203 | 2018-05-15 |
| 1003310442 | Vanessa Hope Warren | Counselor | 3452 Pascagoula St Ste 3, Pascagoula, MS 39567-3203 | 2018-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1477948107 | Market Place Pharmacy, LLC | Pharmacy | 1965 Market Street, Pascagoula, MS 39567 | 2015-03-31 |
| 1518382266 | Randy S Kirksey | Social Worker | 1017 Farnworth Ave, Pascagoula, MS 39567 | 2014-03-04 |
| 1063710747 | Hinman Chiropractic Care, Pa | Chiropractor | 3215 Market Street, Pascagoula, MS 39567 | 2011-03-04 |
| 1215232830 | Jessica E Shores | Military Health Care Provider | 1000 Access Rd Bldg 2026, Pascagoula, MS 39567 | 2011-01-12 |
| 1912214438 | Walker Chiropractic Center, Pllc | Chiropractor | 1408 Ingalls Ave, Pascagoula, MS 39567 | 2010-09-03 |
| 1386979961 | South Mississippi Ear, Nose and Throat | Otolaryngology | 2525 Telephone Road, Pascagoula, MS 39567 | 2009-10-15 |
| 1720299415 | James H Halbrook | Dentist | 2202 Old Mobile Hwy, Pascagoula, MS 39567 | 2007-05-24 |
| 1871624627 | Thayne Christopher Griener | Otolaryngology | 2812 Andrews Avenue, Pascagoula, MS 39567 | 2007-03-07 |
| 1447318159 | Ada Ruth Bosarge | Physical Therapist | 2838 Andrew St, Pascagoula, MS 39567 | 2006-12-05 |
| Find all providers in zip 39567 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470121 | Hannah Olivia Booker | Peer Specialist | 4905 Telephone Rd, Pascagoula, MS 39567-1823 | 2020-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387641 | Redimere Recovery Resources LLC | Peer Specialist | 4646 Meadow Lake Dr, Tupelo, MS 38801-7928 | 2020-02-05 |
| 1770944977 | Judy Dillard | Peer Specialist | 2100 Chambers Drive, Booneville, MS 38829 | 2016-03-15 |
| 1760082580 | Kimberly Eve Spence | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-10-30 |
| 1134733967 | Elizabeth Ann Shepard-bynum | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-08-31 |
| 1801405964 | Elizabeth Moran | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
| 1013526177 | June Boudreaux | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
| 1316555329 | Madeline Nicklas | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-15 |
| 1962031468 | Frank Pace | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-04-06 |
| 1982230058 | Hannah Jade Mixon | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-03-20 |
| 1700417110 | Jennifer Nicole Zaha | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39567 |
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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.