ODELTA GUTIERREZ CLONTZ (NPI# 1033291091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033291091 |
| Entity Type | Individual |
| Full Name | ODELTA GUTIERREZ CLONTZ |
| Other Name | ODELTA M GUTIERREZ |
| Credential | MA, LPC, NCC |
| Practice Address |
202 S Old Statesville Rd Huntersville NC 28078-9700 |
| Mailing Address |
8923 Lizzie Ln Huntersville NC 28078-5614 |
| Practice Telephone | 7046806204 |
| Practice Fax Number | 7046594141 |
| Mailing Telephone | 8325854908 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
9707 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
9707 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
66026 | TX | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 1793 | PR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1552 Union Rd, Suite E, Gastonia, NC 280545523 | 7048330154 | 7048337076 |
| Street Address |
202 S OLD STATESVILLE RD |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811531429 | Aniwaya Counseling Pllc | Social Worker | 202 S Old Statesville Rd, Huntersville, NC 28078-9700 | 2019-11-06 |
| 1295388429 | Serenity Counseling, Pllc | Clinic/Center | 202 S Old Statesville Rd, Huntersville, NC 28078-9700 | 2019-07-17 |
| 1164824843 | Jessica Nichole Crowe | Social Worker | 202 S Old Statesville Rd, Huntersville, NC 28078 | 2014-09-24 |
| 1720429715 | Courtney Huffman | Social Worker | 202 S Old Statesville Rd, Huntersville, NC 28078-9700 | 2013-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134757719 | Perfecting Peace Counseling Center | Counselor | 11901 Sam Furr Rd, Huntersville, NC 28078-9528 | 2020-03-30 |
| 1285262949 | Renewed Hope Counseling Center | Counselor | 15446 Stone Hollow Dr, Huntersville, NC 28078-6194 | 2020-03-30 |
| 1730721002 | Sarah Barkley Sullivan | Counselor | 10105 Hickorywood Hill Ave Ste B, Huntersville, NC 28078-3421 | 2019-10-08 |
| 1316506108 | Gwendolyn Dione Harris | Counselor | 8206 Rolling Meadows Ln, Huntersville, NC 28078-3352 | 2019-06-06 |
| 1528532975 | Best Life Counseling, Pllc | Counselor | 14636 Reese Blvd W Ste 3, Huntersville, NC 28078-7946 | 2019-01-18 |
| 1306310016 | Trio Consulting Solutions, LLC | Counselor | 16507 Northcross Dr Ste 109, Huntersville, NC 28078-5082 | 2019-01-15 |
| 1649741646 | Erika Wadford | Counselor | 14535 Cordial Ln Apt 306, Huntersville, NC 28078-3368 | 2018-12-17 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1235598723 | Apiffany Alexandria Gaither | Counselor | 16600 Birkdale Commons Pkwy Ste D, Huntersville, NC 28078-6181 | 2016-02-12 |
| 1760870521 | Inspireinyou | Counselor | 1259 Bridgeford Dr Nw, Huntersville, NC 28078-4328 | 2015-01-02 |
| Find all providers in HUNTERSVILLE | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
Please comment or provide details below to improve the information on ODELTA GUTIERREZ CLONTZ.
| 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.