DEMETRIAS CHISOLM (NPI# 1053404251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053404251 |
| Entity Type | Individual |
| Full Name | DEMETRIAS CHISOLM |
| Practice Address |
3945 Rivers Ave N Charleston SC 29405-7042 |
| Mailing Address |
9867 Black Tupelo Ln Ladson SC 29456-8536 |
| Practice Telephone | 8433455037 |
| Mailing Telephone | 8433455037 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3945 RIVERS AVE |
| City | N CHARLESTON |
| State | SC |
| Zip Code | 29405-7042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851575252 | Peter J Sukin Md Inc LLC | Counselor | 9326 A Medical Plaza Drive, N Charleston, SC 29406-9138 | 2007-12-20 |
| 1891983706 | Elizabeth Reeves Howard | Counselor | 5107 N Rhett Ave Ste 400, N Charleston, SC 29405-4219 | 2007-10-05 |
| 1790858561 | Karen R Oliver | Counselor | 3601 C Meeting Street Rd, N Charleston, SC 29405-7715 | 2006-11-17 |
| 1336592310 | Changes Counseling Center, LLC | Counselor | 9279 Medical Plaza Dr, Suite B2, N Charleston, SC 29406-9141 | 2016-07-14 |
| 1437508157 | Blaine Filmore Vinson I | Counselor | 5421 River Bluff Pkwy, N Charleston, SC 29420-7135 | 2016-06-03 |
| 1578688925 | Karen L Brown | Counselor | 9229 University Blvd, Suite B, N Charleston, SC 29406-9150 | 2007-03-21 |
| 1699807016 | Kelly M Leighty | Counselor | 3601c Meeting Street Rd, N Charleston, SC 29405-7715 | 2007-03-12 |
| 1285766691 | Jean I Fleming | Counselor | 3601c Meeting Street Rd, N Charleston, SC 29405-7715 | 2007-03-12 |
| 1235205428 | Barbara G Andes | Counselor | 3601c Meeting Street Rd, N Charleston, SC 29405-7715 | 2006-11-28 |
| 1457427593 | Jessica M Winkler | Counselor | 3601c Meeting Street Rd, N Charleston, SC 29405-7715 | 2006-11-28 |
| Find all providers in N CHARLESTON | ||||
| City | N CHARLESTON |
| Zip Code | 29405 |
Please comment or provide details below to improve the information on DEMETRIAS CHISOLM.
| 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.