MR. SCOTT HAVERD HUDNALL (NPI# 1912403130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912403130 |
| Entity Type | Individual |
| Full Name | MR. SCOTT HAVERD HUDNALL |
| Credential | CDCA |
| Practice Address |
608 Park Ave W Mansfield OH 44906-3769 |
| Practice Telephone | 4195285993 |
| Mailing Telephone | 4195285993 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.171507 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336544485 | Scott Eric Hudnall | Nurse Practitioner | 902 Bandera Rd, San Antonio, TX 78228-4923 | 2014-10-31 |
| Street Address |
608 PARK AVE W |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906-3769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891989 | Soulace Group LLC | Counselor | 91 Park Ave W Ste A, Mansfield, OH 44902-1630 | 2020-02-03 |
| 1639652423 | Richard Johnson | Counselor | 3203 Star Hill Rd, Mansfield, TX 76063-2375 | 2018-09-08 |
| 1720564768 | Kurt Billups | Counselor | 6970 Dick Price Rd, Mansfield, TX 76063-5288 | 2018-07-12 |
| 1487144952 | Kenneth Cornell Johnson Jr. | Counselor | 91 Park Ave W, Mansfield, OH 44902-1630 | 2018-05-10 |
| 1104323898 | Kristin Jones | Counselor | 680 Park Ave. West, Mansfield, OH 44906-4490 | 2018-04-09 |
| 1609387786 | Thomas W Schluter Jr. | Counselor | 780 Park Ave W Ste D, Mansfield, OH 44906-3009 | 2017-10-17 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1235680075 | Sarah Hurst-pelfrey | Counselor | 680 Park Avenue West, Mansfield, OH 44906-2641 | 2016-10-17 |
| 1013397595 | Wesley Kyser | Counselor | 2 Smith Ave, Mansfield, OH 44905-2855 | 2015-06-01 |
| 1902234453 | Mindful Life In Action | Counselor | 1183 Lexington Ave, Mansfield, OH 44907-2252 | 2013-10-21 |
| Find all providers in MANSFIELD | ||||
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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.