TEONNA MICHELLE RICHARDSON (NPI# 1073178604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073178604 |
| Entity Type | Individual |
| Full Name | TEONNA MICHELLE RICHARDSON |
| Credential | MSW,LSW |
| Practice Address |
3620 Stutz Dr Canfield OH 44406-9176 |
| Mailing Address |
3620 Stutz Dr Ste C Canfield OH 44406-9176 |
| Practice Telephone | 3302078965 |
| Mailing Telephone | 3302863173 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
S1000966 | OH | Behavioral Health & Social Service Providers |
| Street Address |
3620 STUTZ DR |
| City | CANFIELD |
| State | OH |
| Zip Code | 44406-9176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386025807 | Kimberly King | Counselor | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2015-06-10 |
| 1023625795 | Cheri Fetty | Social Worker | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2020-09-28 |
| 1427664267 | Taylor Nicole Pipoly | Case Manager/Care Coordinator | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2020-09-17 |
| 1043824295 | Tamara Lynne Pierson | Case Manager/Care Coordinator | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2020-09-04 |
| 1568009413 | Constance L Oliphant | Counselor | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2019-12-10 |
| 1538704507 | Garrett Agler | Case Manager/Care Coordinator | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2019-11-13 |
| 1093359804 | Cassandra Wylie | Social Worker | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2019-11-05 |
| 1407400294 | Tawana J Warren | Case Manager/Care Coordinator | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2019-07-30 |
| 1801453311 | Be Eng Ter | Counselor | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2019-05-21 |
| 1306315031 | Tiana Moore | Social Worker | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952802282 | Julie Nicole Austalosh | Case Manager/Care Coordinator | 3711 Indian Run Dr Apt 7, Canfield, OH 44406 | 2018-02-22 |
| 1073064887 | Abby Smith | Specialist/Technologist | 250 Lake Pointe Circle, Canfield, OH 44406 | 2016-10-17 |
| 1255887949 | Chris Smallwood II | Driver | 6128 St Andrews Dr, Canfield, OH 44406 | 2016-09-01 |
| 1831572064 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 41 Talsman Drive, Youngstown, OH 44406 | 2015-07-07 |
| 1568845790 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 3222 Forty Second Street, Youngstown, OH 44406 | 2015-07-07 |
| 1003212051 | Diane Pool | Registered Nurse | 100 Wadsworth Street, Canfield, OH 44406 | 2014-11-18 |
| 1215353990 | Jeanne Siverd | Occupational Therapy Assistant | 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 | 2014-03-05 |
| 1134565641 | Dema Halasa Esper | Dietitian, Registered | 52 Timber Run Dr., Canfield, OH 44406 | 2013-05-13 |
| 1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
| 1205060654 | Jennifer L Morris | Registered Nurse | 3787 Mercedes Place, Canfield, OH 44406 | 2009-05-13 |
| Find all providers in zip 44406 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378194 | Adelle Rae Madison | Counselor | 7105 Herbert Rd, Canfield, OH 44406-8660 | 2020-05-28 |
| 1386025807 | Kimberly King | Counselor | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2015-06-10 |
| 1073949640 | Meredith Leigh Edgar-bailey | Counselor | 4030 Boardman Canfield Rd Ste 200c, Canfield, OH 44406-8062 | 2013-09-16 |
| 1225168149 | Anne Lally | Counselor | 106 S Broad St, Canfield, OH 44406-1447 | 2007-03-07 |
| 1457320889 | Thomas Richard Kupec | Counselor | 132 S Broad St Ste 203, Canfield, OH 44406-1437 | 2006-03-16 |
| 1336126341 | John J Allan | Counselor | 3974 Boardman Canfield Rd, Canfield, OH 44406-9043 | 2005-12-30 |
| 1134484348 | Katherine Feather | Counselor | 4030 Boardman Canfield Rd, Suite 200c, Canfield, OH 44406-9505 | 2012-07-13 |
| 1518192608 | Creekside Counseling Center LLC | Counselor | 106 S Broad St, Canfield, OH 44406-1447 | 2009-05-19 |
| 1922126168 | Creekside Counseling Center, LLC | Counselor | 106 S Broad St, Canfield, OH 44406-1447 | 2007-03-26 |
| 1063536548 | Canfield Counseling Clinic, Inc | Counselor | 3974 Boardman Canfield Rd, Canfield, OH 44406-9043 | 2007-03-19 |
| Find all providers in CANFIELD | ||||
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| 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.