SHEREE ITZA (NPI# 1124516257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124516257 |
| Entity Type | Individual |
| Full Name | SHEREE ITZA |
| Credential | M.ED, LCAC |
| Practice Address |
6655 E Us Highway 36 Ste 100 Avon IN 46123 |
| Mailing Address |
5101 E Us Highway 36 Ste 100 Avon IN 46123-6646 |
| Practice Telephone | 8887141927 |
| Practice Fax Number | 3177459565 |
| Mailing Telephone | 8887141927 |
| Mailing Fax Number | 3177459565 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-09-07 |
| 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) |
87000203A | IN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5638 Professional Cir, Indianapolis, IN 462415042 | 8887141927 | 3172478935 |
| Street Address |
6655 E US HIGHWAY 36 STE 100 |
| City | AVON |
| State | IN |
| Zip Code | 46123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| 1356725246 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 10940 Rockville Rd, Us Highway 36, Avon, IN 46123 | 2015-07-10 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619201498 | Cortney Anne Miller | Counselor | 7483 E Us Highway 36, Suite B, Avon, IN 46123-6923 | 2009-09-25 |
| 1174721468 | Julie Lee Farmer | Counselor | 6748 E Us Highway 36, Suite C, Avon, IN 46123-8312 | 2007-07-07 |
| 1154407484 | Jane H Tweedle | Counselor | 7519 Beachwood Centre Dr, Suite 400, Avon, IN 46123 | 2006-10-30 |
| 1033745419 | Morrika Wolford | Counselor | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2020-03-18 |
| 1972067353 | Trisha Palencer | Counselor | 1115 Ronald Reagan Pkwy Ste 383, Avon, IN 46123-6914 | 2019-01-30 |
| 1568948107 | Cle Counseling LLC | Counselor | 37040 Colorado Ave, Avon, OH 44011-1524 | 2018-07-17 |
| 1659620797 | Chanelle L Lawson | Counselor | 6655 E Us Highway 36, Avon, IN 46123 | 2012-09-05 |
| 1275888307 | Mary Megan Letourneau | Counselor | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2012-07-15 |
| 1154542272 | Denetra Taylor | Counselor | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2007-05-02 |
| 1548311418 | Richard Cunningham | Counselor | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2007-01-16 |
| Find all providers in AVON | ||||
Please comment or provide details below to improve the information on SHEREE ITZA.
| 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.