KELLY SANDERS DUSEK (NPI# 1952966681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952966681 |
| Entity Type | Individual |
| Full Name | KELLY SANDERS DUSEK |
| Credential | LPCA |
| Practice Address |
2233 Deerfield Dr Fort Mill SC 29715-6941 |
| Mailing Address |
14212 Tudor Rose Ln Charlotte NC 28278-7897 |
| Practice Telephone | 8038353775 |
| Mailing Telephone | 7046413824 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7006 | SC | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
SC | Behavioral Health & Social Service Providers | |
| N | 101YS0200X |
Counselor Specialization: School |
NC | Behavioral Health & Social Service Providers |
| Street Address |
2233 DEERFIELD DR |
| City | FORT MILL |
| State | SC |
| Zip Code | 29715-6941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508896697 | Susan M. Supsura | Speech-Language Pathologist | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2006-07-04 |
| 1366007379 | Heather G. Aiazzi | Counselor | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2019-05-06 |
| 1194271122 | Sydney Wright Estes | Counselor | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2016-08-30 |
| 1699108738 | Julie Burt | Physical Therapist | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2013-08-13 |
| 1013349760 | Isabelle Witzel | Occupational Therapist | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2013-08-05 |
| 1467890418 | Donna Kay Kroener | Psychologist | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2013-06-12 |
| 1356789382 | Kathleen Lynn Anderson | Psychologist | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2013-06-12 |
| 1962840454 | Lori Huechtker | Occupational Therapist | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2013-06-06 |
| 1144667445 | Donna Mecca | Occupational Therapy Assistant | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2013-05-28 |
| 1487091880 | Tammy Watts Furr | Registered Nurse | 2233 Deerfield Dr, Fort Mill, SC 29715-6941 | 2013-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590278 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 Springfield Parkway, Fort Mill, SD 29715 | 2020-08-25 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1841728755 | Dennis Demetrius Williams | Specialist/Technologist | 1179 Madison Green Dr, Fort Mill, SC 29715 | 2017-05-23 |
| 1437684453 | Specialty Orthopaedics and Sports Medicine | Orthopaedic Surgery | 130 Crisanto Ave Ste B, Fort Mill, SC 29715 | 2017-04-27 |
| 1730624115 | Springfield Dentistry | Dentist | 452 Mercantile Place, Fort Mill, SC 29715 | 2016-12-21 |
| 1700335569 | Melby Transitions Mht LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715 | 2016-09-22 |
| 1629434071 | Palmetto Family Pharmacy Regent Park | Pharmacy | 1046 Regent Parkway, Suite 104, Fort Mill, SC 29715 | 2016-01-14 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1003248873 | Terri Hennessey | Speech-Language Pathologist | 1599 Farm House Dr, Fort Mill, SC 29715 | 2013-08-05 |
| Find all providers in zip 29715 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871142521 | Caylee King | Counselor | 1913 Skipping Stone Dr, Fort Mill, SC 29715-7622 | 2019-09-05 |
| 1063993525 | Carolina Community Counseling LLC | Counselor | 2012 Highway 160 W Ste 9, Fort Mill, SC 29708-8401 | 2018-08-23 |
| 1568949857 | Janel A Guntle | Counselor | 852 Gold Hill Rd Ste 204, Fort Mill, SC 29708-6965 | 2018-07-19 |
| 1225561988 | H Wallach | Counselor | 1381 Lurecliff Pl, Fort Mill, SC 29708-7956 | 2017-04-09 |
| 1801249321 | Amy Anderson | Counselor | 1870 Second Baxter Xing, Fort Mill, SC 29708-6401 | 2016-07-20 |
| 1366875593 | Elizabeth Morris | Counselor | 1212 Kanawha Ct, Fort Mill, SC 29715-8665 | 2013-08-12 |
| 1043656028 | Virginia Eddy | Counselor | 1758 Clydesdales Ct, Apt 201, Fort Mill, SC 29715-5516 | 2013-05-16 |
| 1639455488 | Nametris Blount | Counselor | 118 Academy Street, Fort Mill, SC 29715 | 2011-10-25 |
| 1639462658 | Kristina R Franklin | Counselor | 1787 Pleasant Rd, Fort Mill, SC 29708-7862 | 2011-05-24 |
| 1881991008 | Compass Care LLC | Counselor | 26182 Camden Woods Dr, Fort Mill, SC 29707-6339 | 2011-02-24 |
| Find all providers in FORT MILL | ||||
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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.