MS. TINA MARIE CHURCHILL (NPI# 1124276563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124276563 |
| Entity Type | Individual |
| Full Name | MS. TINA MARIE CHURCHILL |
| Credential | MA, LPC |
| Practice Address |
1428 N. Highway 47 Suite A Warrenton MO 63383-1375 |
| Mailing Address |
1428 N State Highway 47 Ste C Warrenton MO 63383-1375 |
| Practice Telephone | 6363596445 |
| Practice Fax Number | 6364566216 |
| Mailing Telephone | 6363596445 |
| Mailing Fax Number | 6363771900 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2005010044 | MO | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
1428 N. HIGHWAY 47 SUITE A |
| City | WARRENTON |
| State | MO |
| Zip Code | 63383-1375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544861 | Amanda Rae Miller | Pharmacist | 701 North Highway 47, Warrenton, MO 63383 | 2020-09-28 |
| 1255837647 | Amanda Jean Hite | Physical Therapy Assistant | 1 Town and Country Marketplace, Warrenton, MO 63383 | 2018-04-04 |
| 1295260818 | Legacy Drugstore 2, LLC | Pharmacy | 609 State Highway 47, Suite B, Warrenton, MO 63383 | 2017-04-21 |
| 1295281517 | Harbor Place Estates, LLC | Assisted Living Facility | 1054 S State Highway 47, Warrenton, MO 63383 | 2016-08-28 |
| 1811350630 | Megan Moore | Physical Therapist | 772 N. Hwy 47, Suite A, Warrenton, MO 63383 | 2016-03-30 |
| 1598125353 | Lauren Schumacher | Physical Therapist | 722 N. Highway 47, Suite A, Warrenton, MO 63383 | 2016-03-07 |
| 1427374230 | Our Urgent Care, LLC | Clinic/Center | 1343 North East Service Rd, Warrenton, MO 63383 | 2010-04-19 |
| 1235397183 | Paul J Dooley Dds PC | Dentist | 708 Steinhagen, Warrenton, MO 63383 | 2008-05-28 |
| 1699975995 | Joshua Douglas Sharp | Chiropractor | 704 North State Hwy 47, Warrenton, MO 63383 | 2007-07-24 |
| 1083827075 | Thomas William Cox | Physical Therapy Assistant | 65 State Hwy. Aa, Warrenton, MO 63383 | 2007-05-07 |
| Find all providers in zip 63383 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174181168 | In Luck Counseling LLC | Counselor | 92 Main St Ste 201, Warrenton, VA 20186-3370 | 2019-06-04 |
| 1053781864 | Kristopher Smith | Counselor | 65 North Highway 101, Suite 204, Warrenton, OR 97146 | 2015-10-06 |
| 1639479983 | Troy Montserrat-gonzales | Counselor | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2010-11-02 |
| 1124211347 | Sharon Louise Coffey | Counselor | 39 Garrett St Ste 109, Warrenton, VA 20186-3123 | 2007-08-21 |
| 1598876757 | Melissa L Elliott | Counselor | 149 Campus Dr, Warrenton, NC 27589-8601 | 2006-08-31 |
| 1205875127 | Family Focus Counseling Services PC | Counselor | 20b John Marshall St, Warrenton, VA 20186-3214 | 2006-06-06 |
| 1427662550 | Family Psychiatric Services | Counselor | 82 Main St, Warrenton, VA 20186-3332 | 2020-09-05 |
| 1992338842 | Deborah Vara | Counselor | 92 Main St, Warrenton, VA 20186-3366 | 2020-02-19 |
| 1700419645 | Demitra Chandler | Counselor | 92 Main St, Warrenton, VA 20186-3366 | 2020-02-19 |
| 1487214904 | Brett Harrington Mayhew | Counselor | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-06-17 |
| Find all providers in WARRENTON | ||||
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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.