MISS CARISSA MARIE CANTELUPE


Address: 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445
Phone: 9372222233

MISS CARISSA MARIE CANTELUPE (NPI# 1942791991) 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) 1942791991
Entity Type Individual
Full Name MISS CARISSA MARIE CANTELUPE
Other Name MRS. CARISSA MARIE COLCHIN
Practice Address 1 Elizabeth Pl Ste D
Dayton
OH 45417-3445
Practice Telephone 9372222233
Mailing Telephone 9372222233
Enumeration Date 2018-05-25
Last Update Date 2018-05-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
140320 OH Behavioral Health & Social Service Providers

Office Location

Street Address 1 ELIZABETH PL STE D
City DAYTON
State OH
Zip Code 45417-3445

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962518019 Lita R Budiamal Anesthesiology 1 Elizabeth Pl Ste D, Dayton, OH 45408-1445 2006-08-22
1992312300 Nicole M Walker Nurse Practitioner 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 2020-09-29
1659922615 Hannah Joy Carr Physician Assistant 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 2019-09-21
1689149809 Quan James Wang Family Medicine 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 2018-10-04
1962990135 Qiying She Nurse Practitioner 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 2018-04-24
1114425535 Dayton Pain Center LLC Clinical Medical Laboratory 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 2018-01-31
1225546823 Sherri Lynn Underwood Nurse Practitioner 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 2018-01-17
1922512821 Amber Mckinney Nurse Practitioner 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 2017-11-30
1104330042 Sophia Addrienne Pullen Counselor 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 2017-11-30
1205349362 Dayton Pain Center LLC Counselor 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 2017-11-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891329504 Kanika Crowder Home Health Aide 5964 Hoover Ave, Dayton, OH 45417 2020-03-03
1427510510 Michael S Hatesohl Student in an Organized Health Care Education/Training Program 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 2019-04-05
1205313350 Latonda T Brewer Home Health Aide 3900 Cone Ct, Dayton, OH 45417 2018-07-22
1205326048 Diane Fillmore Case Manager/Care Coordinator 1818 West Main Street, Dayton, OH 45417 2018-05-17
1295222941 Zainab Saherwala Student in an Organized Health Care Education/Training Program 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 2018-04-18
1013430123 Bridgette Elizabeth Quinlin Counselor 4104 Germantown St, Dayton, OH 45417 2017-07-20
1083144679 Tadesha Marie Gay Licensed Practical Nurse 4748 Ericson Ave, Dayton, OH 45417 2017-06-15
1386180099 Bio-medical Applications of Ohio, Inc. Clinic/Center 821 S Edwin C Moses Blvd, Dayton, OH 45417 2017-01-19
1770039760 Jamie E Denlinger Social Worker 1 Elizabeth Pl Fl 3, Dayton, OH 45417 2016-08-30
1780069823 Care4us Behavioral Health Center, LLC Community/Behavioral Health 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 2015-07-29
Find all providers in zip 45417

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689271546 Laura Frericks Counselor 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 2020-10-05
1578170056 Taylor Katherine Bevins Counselor 856 Hyde Park Dr, Dayton, OH 45429-5840 2020-09-28
1528689676 Yvonne Marie Randel Counselor 519 County Road 4011, Dayton, TX 77535-7386 2020-04-29
1538789284 Shannon Davis Kaufman Counselor National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 2020-04-23
1942833389 Colleen Stevens Counselor 955 Sweeney Drive, Dayton, OH 45458 2020-02-13
1477190312 Tewanna Hawkins Counselor 4352 Catalina Ave, Dayton, OH 45416-1302 2019-12-10
1588206718 Iris Marie Blanchard Counselor 329 Imogene Rd, Dayton, OH 45405-5208 2019-10-09
1891345559 Larry S Baxter IIi Counselor 612 Gramont Ave, Dayton, OH 45402-5439 2019-09-16
1992354286 Eden E Mcdonald Counselor 1592 Joselin Rd, Dayton, OH 45432-3647 2019-09-09
1730746942 Kimberly Billingsley Counselor 212 N Orchard Ave, Dayton, OH 45417-2453 2019-05-22
Find all providers in DAYTON

Competitor

Search similar providers

City DAYTON
Zip Code 45417

Improve Information

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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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