MS. AMY RICEDORF (NPI# 1013283357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013283357 |
| Entity Type | Individual |
| Full Name | MS. AMY RICEDORF |
| Credential | NCC |
| Practice Address |
4507 U S Highway 49 Hattiesburg MS 39401-9012 |
| Mailing Address |
Po Box 18679 Hattiesburg MS 39404-8679 |
| Practice Telephone | 6015452925 |
| Practice Fax Number | 6015452926 |
| Mailing Telephone | 6017051901 |
| Mailing Fax Number | 6017051952 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
255326 | MS | Behavioral Health & Social Service Providers |
| Street Address |
4507 U S HIGHWAY 49 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-9012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894635 | Deena Lambert Crawford | Counselor | 16 Cutlass Pt, Hattiesburg, MS 39402-9555 | 2020-06-04 |
| 1811460256 | Tina Johnson | Counselor | 2008 Oak Grove Rd Apt 10, Hattiesburg, MS 39402-1416 | 2019-01-08 |
| 1245708890 | Fox & Vine, Pllc | Counselor | 1501 Adeline St Ste 2, Hattiesburg, MS 39401-6264 | 2018-11-12 |
| 1972022580 | Garey Allen Bonner II | Counselor | 607 Corinne St Ste A1, Hattiesburg, MS 39401-3831 | 2017-09-14 |
| 1912352709 | Portia M Granger | Counselor | 156 Morrell Cir, Hattiesburg, MS 39402-8132 | 2016-04-28 |
| 1841674876 | The Oaks Integrative Christian Counseling | Counselor | 607 Corinne St # A1, Hattiesburg, MS 39401-3831 | 2015-07-20 |
| 1891037032 | Marquitta Nicole Hill | Counselor | 1306 Hardy St, Hattiesburg, MS 39401-4981 | 2013-03-26 |
| 1952623761 | True Understanding Ministries | Counselor | 2814 Laramie Cir, Hattiesburg, MS 39402-2626 | 2010-02-20 |
| 1639408321 | Journey Counseling & Consulting, LLC | Counselor | 140 Mayfair Rd Ste 300, Hattiesburg, MS 39402-1463 | 2009-12-09 |
| 1396977070 | Estina M Holder | Counselor | 100 Chickasaw Dr, Hattiesburg, MS 39401-2852 | 2009-08-14 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on MS. AMY RICEDORF.
| 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.