DR. STEPHANY PRUITT (NPI# 1972806669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972806669 |
| Entity Type | Individual |
| Full Name | DR. STEPHANY PRUITT |
| Credential | LPC |
| Practice Address |
6815 W Capitol Dr Ste 304 Milwaukee WI 53216-2056 |
| Practice Telephone | 4145541143 |
| Practice Fax Number | 4143555467 |
| Mailing Telephone | (414) 554-1143 |
| Mailing Fax Number | 4143555467 |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2017-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4758-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1972806669 | 05 |
| Street Address |
6815 W CAPITOL DR STE 304 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-2056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144489261 | Nicole L. Jackson | Counselor | 6815 W Capitol Dr Ste 304, Milwaukee, WI 53216-2056 | 2008-06-04 |
| 1295357291 | Markeda Cain | Social Worker | 6815 W Capitol Dr Ste 304, Milwaukee, WI 53216-2056 | 2020-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475963 | Anna Banwell | Counselor | 710 W Historic Mitchell St Apt 703, Milwaukee, WI 53204-3559 | 2020-07-30 |
| 1225658826 | Callie Barfield | Counselor | 9096 N Tennyson Dr, Milwaukee, WI 53217-1967 | 2020-04-23 |
| 1043849698 | Amanda Joann Degner | Counselor | 329 W National Ave Apt 2, Milwaukee, WI 53204-1702 | 2020-04-06 |
| 1467092320 | Christina Manolatos | Counselor | 3921 N Humboldt Blvd Apt 801, Milwaukee, WI 53212-1365 | 2020-01-08 |
| 1780235267 | Toni W Pharm | Counselor | 8018 W Capitol Dr Ste 206, Milwaukee, WI 53222-1906 | 2019-09-25 |
| 1407417983 | Damira Grady | Counselor | 11303 W Appleton Ln, Milwaukee, WI 53225-1200 | 2019-06-25 |
| 1265091664 | Drew David Dryssen | Counselor | 8800 W Bluemound Rd, Milwaukee, WI 53226-4626 | 2019-06-10 |
| 1013574409 | Patricia Michelle Carrington | Counselor | 1409 E Capitol Dr Ste 202, Milwaukee, WI 53211-1959 | 2019-05-22 |
| 1730647959 | Andrea Renee Zulkowski | Counselor | 3732 W Wisconsin Ave Ste 320, Milwaukee, WI 53208-3166 | 2019-03-06 |
| 1831662063 | Svenja Michela Rauchstaedt-schneider | Counselor | 5719 W Fountain Ave, Milwaukee, WI 53223-4227 | 2019-01-10 |
| Find all providers in MILWAUKEE | ||||
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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.