MS. SHIRLEY ANN GOLLADAY (NPI# 1003110289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003110289 |
| Entity Type | Individual |
| Full Name | MS. SHIRLEY ANN GOLLADAY |
| Other Name | MRS. SHIRLEY ANN SNODDY |
| Credential | MHS, CADC |
| Practice Address |
20303 Crawford Ave Suite 100 Olympia Fields IL 60461-1073 |
| Practice Telephone | 7087479399 |
| Practice Fax Number | 7087471908 |
| Mailing Telephone | 7087479399 |
| Mailing Fax Number | 7087471908 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
26382 | IL | Behavioral Health & Social Service Providers |
| Street Address |
20303 CRAWFORD AVE SUITE 100 |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461-1073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528172954 | Richard Floyd Multack | Ophthalmology | 20303 Crawford Ave, Suite Ll 1, Olympia Fields, IL 60461-1073 | 2006-08-19 |
| 1346745577 | Dr Snead and Associates Integrative Medicine Practice Inc | Clinic/Center | 20303 Crawford Ave, Olympia Fields, IL 60461-1073 | 2018-03-28 |
| 1710381181 | Kimberly Wicks | Nurse Practitioner | 20303 Crawford Ave, Suite 220, Olympia Fields, IL 60461-1073 | 2014-10-14 |
| 1851703367 | Connie Shyu | Physician Assistant | 20303 Crawford Ave, Suite 110, Olympia Fields, IL 60461-1073 | 2014-06-02 |
| 1588007629 | Diane L Egan | Nutritionist | 20303 Crawford Ave, Suite 220, Olympia Fields, IL 60461-1073 | 2013-04-08 |
| 1518215714 | Eve Health Center | Podiatrist | 20303 Crawford Ave, Suite 210, Olympia Fields, IL 60461-1041 | 2012-08-17 |
| 1568717023 | Nellie N Plummer | Optometrist | 20303 Crawford Ave, Olympia Fields, IL 60461-1073 | 2012-07-19 |
| 1851655989 | Multack Eye Care, S.c | Ophthalmology | 20303 Crawford Ave, Suite Ll1, Olympia Fields, IL 60461-1073 | 2012-07-04 |
| 1184904526 | Shifrin Group LLC | Ophthalmology | 20303 Crawford Ave, Ll1, Olympia Fields, IL 60461-1173 | 2011-08-17 |
| 1659606895 | Kingdom Living Outreach Services, Inc | Community/Behavioral Health | 20303 Crawford Ave, Suite 100, Olympia Fields, IL 60461-1073 | 2009-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
| Find all providers in zip 60461 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578817516 | Joseph S Thomas Jr. | Counselor | 20303 Crawford Ave Ste 100, Olympia Fields, IL 60461-1173 | 2012-10-29 |
| 1619300605 | Lisa Wallace | Counselor | 20200 Governors Dr, 107, Olympia Fields, IL 60461-1032 | 2013-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1093322638 | New Horizon Mental and Behavioral Services | Counselor | 12052 S Lockwood Ave, Alsip, IL 60803-3165 | 2020-09-28 |
| 1780299818 | Sophia Bilikovsky | Counselor | 3025 Monterey Ln, Wadsworth, IL 60083-8924 | 2020-09-15 |
| 1497360697 | Cassandra Lynn Wegner | Counselor | 2529 Ravinia Ln, Woodridge, IL 60517-2241 | 2020-09-14 |
| 1831703131 | Colleen Mertens | Counselor | 100 Tower Dr Ste 236, Burr Ridge, IL 60527-5787 | 2020-09-03 |
| 1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
| 1417574203 | Kathy O Valentin | Counselor | 1640 Pleasant Ln, Glenview, IL 60025-1847 | 2020-06-29 |
| 1669098844 | James Earl Brooks I | Counselor | 523 Clark St, South Beloit, IL 61080-1317 | 2020-06-23 |
| 1780200014 | Anchorpoint Adolescent Consultant Group Inc. | Counselor | 1246 N Yale Ave, Arlington Heights, IL 60004-4564 | 2020-06-23 |
| 1891311502 | Ashlie Jones | Counselor | 3226 Hoffman St, Plano, IL 60545-1992 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
Please comment or provide details below to improve the information on MS. SHIRLEY ANN GOLLADAY.
| 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.