MS. DALE ENGELBERG (NPI# 1063621761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063621761 |
Entity Type | Individual |
Full Name | MS. DALE ENGELBERG |
Credential | MA |
Practice Address |
703 Calvin Avery Dr West Memphis AR 72301-6501 |
Mailing Address |
511 Goodland St Memphis TN 38111-2320 |
Practice Telephone | 8707027563 |
Practice Fax Number | 8707355401 |
Mailing Telephone | 9014586949 |
Enumeration Date | 2007-05-21 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
149 | TN | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
0214 | TN | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
85-3E | AR | Behavioral Health & Social Service Providers |
Street Address |
703 CALVIN AVERY DR |
City | WEST MEMPHIS |
State | AR |
Zip Code | 72301-6501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659450823 | Treva Ross Sanders | Counselor | 703 Calvin Avery Dr, Suite B, West Memphis, AR 72301-6501 | 2006-11-06 |
1629509765 | Shella Pounds | Registered Nurse | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2017-03-21 |
1588111595 | Chandra Ellis | Social Worker | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2016-09-07 |
1558777896 | Courtney Porter | Social Worker | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2014-07-08 |
1982019592 | Telisa Davis | Case Manager/Care Coordinator | 703 Calvin Avery Dr, Suite A, West Memphis, AR 72301-6501 | 2014-06-23 |
1154756286 | Patricia Shelton | Case Manager/Care Coordinator | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2013-09-09 |
1962837096 | Stephanie Warren | Case Manager/Care Coordinator | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2013-09-09 |
1386087450 | Brea Banks | Case Manager/Care Coordinator | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2013-04-09 |
1447693528 | Marcus Brooks | Case Manager/Care Coordinator | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2013-04-09 |
1871849422 | James Raynard Edwards | Counselor | 703 Calvin Avery Dr, Suite A, West Memphis, AR 72301-6501 | 2012-08-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
Find all providers in zip 72301 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982134441 | Glenna Michele Rodgers | Counselor | 835 S Woods St, West Memphis, AR 72301-5347 | 2017-06-18 |
1578633780 | Cecelia M Hooks | Counselor | 220 N 6th St Ste A, West Memphis, AR 72301-3217 | 2006-11-08 |
1659450823 | Treva Ross Sanders | Counselor | 703 Calvin Avery Dr, Suite B, West Memphis, AR 72301-6501 | 2006-11-06 |
1821175647 | Emilie H Unglesby | Counselor | 905 N 7th St, West Memphis, AR 72301-2001 | 2006-11-01 |
1215564984 | Marsha Martin | Counselor | 228 W Tyler Ave, West Memphis, AR 72301-4089 | 2020-03-24 |
1376008433 | Prevail Counseling Services, LLC | Counselor | 310 Mid Continent Plz Ste 404, West Memphis, AR 72301-1700 | 2019-02-04 |
1689197295 | Stephanie Dillon | Counselor | 905 N 7th St, West Memphis, AR 72301-2001 | 2017-07-25 |
1316328941 | Global Academy Inc | Counselor | 301 N 7th St, West Memphis, West Memphis, AR 72301-3228 | 2015-06-09 |
1871849422 | James Raynard Edwards | Counselor | 703 Calvin Avery Dr, Suite A, West Memphis, AR 72301-6501 | 2012-08-01 |
1023202330 | Shelbye Levine Scott | Counselor | 905 N 7th St, West Memphis, AR 72301-2001 | 2007-08-29 |
Find all providers in WEST MEMPHIS |
City | WEST MEMPHIS |
Zip Code | 72301 |
Please comment or provide details below to improve the information on MS. DALE ENGELBERG.
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.