MARSHA LYNNE DALLAS (NPI# 1982079588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982079588 |
| Entity Type | Individual |
| Full Name | MARSHA LYNNE DALLAS |
| Other Name | MARSHA LYNNE ELSNER |
| Credential | MA, LPC, NCC, SCL |
| Practice Address |
2240 South Airport Road Traverse City MI 49686 |
| Practice Telephone | 2316424642 |
| Mailing Telephone | 2316424642 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
L869068 | MI | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
SC0000459 | MI | Behavioral Health & Social Service Providers |
| Street Address |
2240 SOUTH AIRPORT ROAD |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1417346966 | East Bay Psychology, PC | Psychologist | 3926 Village Circle Dr., Traverse City, MI 49686 | 2015-01-21 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720321 | Jeanette Fay Peltola | Counselor | 968 Harbor Ct, Traverse City, MI 49685-9355 | 2020-08-11 |
| 1922629047 | International Center for Integral Health and Education | Counselor | 263 Midtown Dr, Traverse City, MI 49684-5752 | 2020-04-29 |
| 1255961868 | Joan M Ledford | Counselor | 928 S Garfield Avenue, Suite 3a, Traverse City, MI 49686-0000 | 2020-01-23 |
| 1942840137 | Kristen Nicole Vanderkolk | Counselor | 928 S Garfield Ave Ste 3a, Traverse City, MI 49686-2403 | 2020-01-15 |
| 1801454459 | Anchor and Hope Counseling, LLC | Counselor | 2150 S Airport Rd W Ste C, Traverse City, MI 49684-4705 | 2019-05-30 |
| 1467809723 | Jakob Rossi | Counselor | 733 E 8th St Ste 204, Traverse City, MI 49686-2665 | 2016-05-17 |
| 1649660226 | Gerald Micketti | Counselor | 1200 W. 11th Street, Suite 111, Traverse City, MI 49684-3288 | 2015-02-03 |
| 1396155149 | Andra Williams | Counselor | 954 Business Park Dr, Suite 2, Traverse City, MI 49686-8763 | 2014-05-02 |
| 1922439835 | Tara Carroll | Counselor | 225 W 14th St, Traverse City, MI 49684-4037 | 2013-12-02 |
| 1033550363 | Emily Knapp | Counselor | 7150 Lake Leelanau Dr, Traverse City, MI 49684-9536 | 2013-07-15 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
Please comment or provide details below to improve the information on MARSHA LYNNE DALLAS.
| 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.