MS. GENEVI J AGE (NPI# 1053822130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053822130 |
| Entity Type | Individual |
| Full Name | MS. GENEVI J AGE |
| Credential | LCAS-A |
| Practice Address |
5233 Sundance Way Unit 101 Wilmington NC 28409-5771 |
| Practice Telephone | 9106494964 |
| Mailing Telephone | 9106194964 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
23005 | NC | Behavioral Health & Social Service Providers |
| Street Address |
5233 SUNDANCE WAY UNIT 101 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28409-5771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
| 1912373465 | Thomas Malenfant | Hearing Instrument Specialist | 474 New Centre Drive, #6, Wilmington, NC 28409 | 2015-08-19 |
| 1720482862 | Leslie Morton Garris | Pharmacist | 6013 Chancellorville Drive, Wilmington, NC 28409 | 2014-10-17 |
| 1659621720 | Charles Warren Moorehead | Social Worker | 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 | 2012-09-14 |
| 1992972020 | Nancy Beth Kotz | Social Worker | 6211 Terrapin Ct, Wilmington, NC 28409 | 2008-05-08 |
| 1366611089 | Michael Royce Penland | Psychologist | 5002-1 Hewletts Run, Wilmington, NC 28409 | 2008-02-27 |
| 1184755092 | Keith W Mann | Dentist | 818-101 Pine Grove Drive, Wilmington, NC 28409 | 2007-03-09 |
| 1477650554 | Jeffrey Beecham Chick | Specialist | 1201 Porches Dr, Suite 2, Wilmington, NC 28409 | 2006-09-20 |
| 1407964067 | Richard A. Lally | Counselor | 5425 Golden Eagle Court, Wilmington, NC 28409 | 2006-08-25 |
| 1598290520 | Monaca Lachman | Counselor | 6020 Leeward Ln, Wilmington, NC 28409-0129 | 2017-04-27 |
| Find all providers in zip 28409 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821388703 | Felicia A. Connor | Psychologist | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2011-04-13 |
| 1003050634 | Coastal Horizons Center, Inc. | Psychologist | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2009-04-27 |
| 1487838280 | Lee Covington Graham | Psychologist | 615 Shipyard Blvd, C/o Coastal Horizons Center, Inc., Wilmington, NC 28412-6431 | 2007-12-28 |
| 1861526543 | Mandell J Much | Psychologist | 2110 Duncan Rd, Wilmington, DE 19808-4602 | 2007-03-15 |
| 1649328006 | Pamela Michelle Morrison | Psychologist | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770133548 | Charles Benjamin Jardin | Psychologist | 508 Fulton St # 116d, Durham, NC 27705-3875 | 2019-09-13 |
| 1356874036 | Athena Psychological Services Pllc | Psychologist | 9204 Falls of Neuse Rd, Suite 110, Raleigh, NC 27615-2479 | 2017-04-10 |
| 1659674927 | Vivian Barnette | Psychologist | 109 Murphy Hall, Greensboro, NC 27411 | 2010-12-08 |
| 1225365851 | A Turning Point Counseling & Consulting, LLC | Psychologist | 2121 Commonwealth Ave Ste 106, Charlotte, NC 28205-5142 | 2009-11-03 |
| 1629213798 | Sondra Brosofske Harry | Psychologist | 2149 Riceville Rd, Asheville, NC 28805-8709 | 2008-12-03 |
| 1558533976 | Charmaine Beatrice Harrington | Psychologist | 261 W Palmer Ave, Raeford, NC 28376-5654 | 2008-03-26 |
| 1518138726 | The Tobin Company, P.l.l.c. | Psychologist | 1117 Harding Pl, Charlotte, NC 28204-2824 | 2008-03-14 |
| 1740468115 | Steven James Williams | Psychologist | 3209 Quiet Mill Rd, A6, Raleigh, NC 27612-4308 | 2008-02-07 |
| 1700083383 | Charee Boulter | Psychologist | 6633 Fairview Rd, Charlotte, NC 28210-3321 | 2007-06-28 |
| 1164630083 | Catherine Mcclure | Psychologist | 732 Williams Cir, Chapel Hill, NC 27516-1526 | 2007-05-21 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28409 |
Please comment or provide details below to improve the information on MS. GENEVI J AGE.
| 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.