CHAMELEON DAVIS (NPI# 1003472838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003472838 |
| Entity Type | Individual |
| Full Name | CHAMELEON DAVIS |
| Credential | LSW, CCHTSP, CSAS |
| Practice Address |
71 Sharkey Rd Glendora MS 38928-2531 |
| Practice Telephone | 6629029833 |
| Mailing Telephone | 6629029833 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
558 | TN | Behavioral Health & Social Service Providers |
| Street Address |
71 SHARKEY RD |
| City | GLENDORA |
| State | MS |
| Zip Code | 38928-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316101843 | Glendora Clinic | Nurse Practitioner | 44 Westbrooks Ave, Glendora, MS 38928 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931408 | Joseph A. Geleris | Clinic/Center | 132 N Vermont Ave, Glendora, CA 91741-5315 | 2020-10-27 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1023628344 | Life & Hope Home Health Care Inc | Home Health | 620 W Route 66 Ste 103, Glendora, CA 91740-4166 | 2020-08-01 |
| 1013527332 | Sigma Health Care Management Inc | Home Health | 620 W Route 66 Ste 106, Glendora, CA 91740-4166 | 2020-08-01 |
| 1487264701 | Alpha Hospice Services Inc | Hospice Care, Community Based | 620 W Route 66 Ste 103a, Glendora, CA 91740-4166 | 2020-08-01 |
| 1962011056 | Ak Home Health Careinc | Home Health | 620 W Route 66 Ste 215, Glendora, CA 91740-4173 | 2020-07-24 |
| 1386253474 | Astra Hospice Services Inc | Hospice Care, Community Based | 620 W Route 66 Ste 106a, Glendora, CA 91740-4166 | 2020-07-24 |
| 1003439365 | Dennis Poon | Nurse Practitioner | 451 E Ada Ave, Glendora, CA 91741-3409 | 2020-05-21 |
| 1932722246 | Studio 36 Acupuncture | Clinic/Center | 620 S Glendora Ave Ste A, Glendora, CA 91740-6815 | 2020-05-20 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers in GLENDORA | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003296237 | Janine Esparza | Counselor | 1505 Sunflower Ave, Glendora, CA 91740-5839 | 2015-06-03 |
| 1639585565 | Tammy Lee Sarabia | Counselor | 355 N Vista Bonita Ave, Glendora, CA 91741-2656 | 2014-07-11 |
| 1164682506 | Laura Ann Bleistein | Counselor | 615 N Vermont Ave, Glendora, CA 91741-2024 | 2008-06-10 |
| 1245655430 | Maria Lopez | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2014-02-24 |
| 1316249618 | Gina Maria Mastrangelo | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2010-11-19 |
| 1477886455 | Bryan James Strycula | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2009-09-09 |
| 1689814782 | Alex Lopez Jr. | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2009-03-02 |
| 1013188796 | Linda M Miles | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2008-03-20 |
| 1780874156 | Elisha Leyva | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2007-07-31 |
| 1396886982 | Judy Elizabeth Grover | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2007-02-08 |
| Find all providers in GLENDORA | ||||
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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.