NICOLE DEEANN GRAVES (NPI# 1073008124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073008124 |
| Entity Type | Individual |
| Full Name | NICOLE DEEANN GRAVES |
| Credential | CDCA |
| Practice Address |
11402 Us Highway 50 West Bourneville OH 45617 |
| Mailing Address |
Po Box 59 Bourneville OH 45617-0059 |
| Practice Telephone | 7407022200 |
| Practice Fax Number | 7407022202 |
| Mailing Telephone | 7407022200 |
| Mailing Fax Number | 7407022202 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.164592 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386135374 | Nicole R Graves | Nurse Practitioner | 2222 W Lexington Ave Ste B, Elkhart, IN 46514-1420 | 2018-05-24 |
| 1548571086 | Nicole L Graves | Dentist | 1001 Neufairfield Dr, Joliet, IL 60432-0736 | 2010-06-30 |
| 1720532849 | Nicole Graves | Speech-Language Pathologist | 950 S Coast Dr, Ste 235, Costa Mesa, CA 92626-1776 | 2016-08-05 |
| Street Address |
11402 US HIGHWAY 50 WEST |
| City | BOURNEVILLE |
| State | OH |
| Zip Code | 45617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289815 | Andrea J. Mitchel | Counselor | 11402 Us Rt. 50, Bourneville, OH 45617 | 2018-06-22 |
| 1851889091 | Julie Ann Johnson | Counselor | 11402 Us Route 50, Bourneville, OH 45617 | 2018-04-24 |
| 1992213573 | Alvin Jody Wilson | Counselor | 11402 State Route 50, Chillicothe, OH 45617 | 2018-01-17 |
| 1407848963 | Twin Township Trustees | Ambulance | 11521 Us Rt 50, Box 6, Bourneville, OH 45617 | 2005-08-19 |
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289815 | Andrea J. Mitchel | Counselor | 11402 Us Rt. 50, Bourneville, OH 45617 | 2018-06-22 |
| 1851889091 | Julie Ann Johnson | Counselor | 11402 Us Route 50, Bourneville, OH 45617 | 2018-04-24 |
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|---|---|---|---|---|
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| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1790384220 | Ron Lee Ward | Counselor | 950 E Alex Bell Rd Ste 100, Centerville, OH 45459-2721 | 2020-10-26 |
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1669070033 | Charismata Counseling LLC | Counselor | 2670 N Columbus St Ste 0, Lancaster, OH 43130-8408 | 2020-10-16 |
| 1467050427 | Sonia Buhrer Bowen | Counselor | 475 E Mound St, Columbus, OH 43215-5573 | 2020-10-13 |
| 1750989737 | Renea Yvonne Jagel | Counselor | 4711 Nebraska Ave, Huber Heights, OH 45424-6003 | 2020-10-13 |
| 1114524741 | Amanda Jo Sharp | Counselor | 500 Lehman Ave Ste 100, Bowling Green, OH 43402-3068 | 2020-10-06 |
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | BOURNEVILLE |
| Zip Code | 45617 |
Please comment or provide details below to improve the information on NICOLE DEEANN GRAVES.
| 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.