PHYLLIS YEVETTE ST.JOHN (NPI# 1104172964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104172964 |
| Entity Type | Individual |
| Full Name | PHYLLIS YEVETTE ST.JOHN |
| Credential | LCAS-P,LPCA, CRC |
| Practice Address |
301 S Church St Rocky Mount NC 27804-5755 |
| Mailing Address |
3928 Landing Brook Dr Raleigh NC 27616-8876 |
| Practice Telephone | 2524672860 |
| Practice Fax Number | 2524672865 |
| Mailing Telephone | 7573296221 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NC | Behavioral Health & Social Service Providers | |
| Y | 101YP2500X |
Counselor Specialization: Professional |
NC | Behavioral Health & Social Service Providers |
| Street Address |
301 S CHURCH ST |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27804-5755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881779882 | Sonia Howard | Durable Medical Equipment & Medical Supplies | 301 S Church St, Suite 160, Rocky Mount, NC 27804-5755 | 2006-10-26 |
| 1932655826 | Lyla Collective, Inc | Community/Behavioral Health | 301 S Church St, Suite 292, Rocky Mount, NC 27804-5755 | 2016-08-30 |
| 1821469198 | Quality Care Solutions | Day Training, Developmentally Disabled Services | 301 S Church St, Suite 163, Rocky Mount, NC 27804-5755 | 2015-10-13 |
| 1487031449 | Young Hope New Beginning Mothers & Children Centers Org | Custodial Care Facility | 301 S Church St, Rocky Mount, NC 27804-5755 | 2015-04-29 |
| 1851712863 | Universal Healthcare Management, LLC | Intermediate Care Facility, Mentally Retarded | 301 S Church St, Suite 136, Rocky Mount, NC 27804-5755 | 2013-12-17 |
| 1740626555 | Kidspeak, Inc | Specialist/Technologist | 301 S Church St, Suite 156, Rocky Mount, NC 27804-5755 | 2013-05-20 |
| 1629353560 | Melissa Dawn Valentine-barrow | Counselor | 301 S Church St, Suite 163, Rocky Mount, NC 27804-5755 | 2011-10-11 |
| 1528357845 | Easter Seals Ucp North Carolina & Virginia, Inc. | Community Health Worker | 301 S Church St, Suite 200, Rocky Mount, NC 27804-5755 | 2011-04-07 |
| 1336449784 | Open Arms Residential & Community Support Inc. | Community/Behavioral Health | 301 S Church St, Suite 152 Station Square, Rocky Mount, NC 27804-5755 | 2010-11-01 |
| 1073749693 | Restart Inc. Rocky Mt | Community/Behavioral Health | 301 S Church St, Rocky Mount, NC 27804-5755 | 2009-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288419 | Aubrey Kuester | Physical Therapist | Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 | 2018-09-11 |
| 1134636475 | New Beginning Family Services of Nc | Clinic/Center | 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 | 2018-01-09 |
| 1033640776 | Simply Frazier Beauty Salon | Specialist | 1141 Jeffreys Rd, Rocky Mount, NC 27804 | 2017-03-24 |
| 1164961942 | Family Care Partners of North Carolina, Pllc | Internal Medicine | 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 | 2017-02-14 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1891107678 | Patrick Ignacio | Pharmacist | 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 | 2014-05-28 |
| 1023437795 | Down East Hearing | Hearing Aid Equipment | 1356 Benvenue Rd., Rocky Mount, NC 27804 | 2014-04-10 |
| 1659710416 | Sterling House of Rocky Mount | Assisted Living Facility | 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 | 2013-06-14 |
| 1700223609 | Keenya Anderson Staten | Nurse Practitioner | 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 | 2013-05-31 |
| 1578844528 | Nathan Thomas Long | Pharmacist | 300 N Grace St Ste 150, Rocky Mount, NC 27804 | 2011-09-05 |
| Find all providers in zip 27804 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490287 | Devann Shea Brown | Counselor | 180 Amt Tech Dr Ste A4, Rocky Mount, VA 24151-6735 | 2019-11-04 |
| 1730731092 | Michael Crenshaw Sr. | Counselor | 4668 Laurel Trail Rd, Rocky Mount, NC 27804-7934 | 2019-07-16 |
| 1871069047 | Reconnect Family Services Pllc | Counselor | 301 S Church St Ste 142, Rocky Mount, NC 27804-5748 | 2018-10-15 |
| 1376931899 | Nekita Beach | Counselor | 7204 Silverleaf Rd, Rocky Mount, NC 27804-9178 | 2015-01-06 |
| 1194120022 | Cheri Pullen | Counselor | 220 Sebastian Way, Rocky Mount, NC 27804-9099 | 2014-11-04 |
| 1043615131 | Exigin Behavioral Health LLC | Counselor | 1105 Spring Forest Dr, Rocky Mount, NC 27803 | 2014-10-31 |
| 1689959694 | Jacqueline Shaw | Counselor | 633 Weathervane Way, Rocky Mount, NC 27803-8736 | 2011-10-21 |
| 1750533204 | Linda Faye Best | Counselor | 1629 Crabapple Ln, Rocky Mount, NC 27804-9308 | 2008-10-15 |
| 1679614937 | Kerri Lee Mcclain | Counselor | 848 Country Club Rd, Rocky Mount, NC 27804-1706 | 2007-02-09 |
| 1508918038 | James W. Briscoe | Counselor | 237 S Winstead Ave Apt X1, Rocky Mount, NC 27804-3446 | 2007-01-17 |
| Find all providers in ROCKY MOUNT | ||||
| City | ROCKY MOUNT |
| Zip Code | 27804 |
Please comment or provide details below to improve the information on PHYLLIS YEVETTE ST.JOHN.
| 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.