TERESA NICKOLE DENNIS (NPI# 1154849511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154849511 |
| Entity Type | Individual |
| Full Name | TERESA NICKOLE DENNIS |
| Practice Address |
6648 South Ave Holland OH 43528 |
| Mailing Address |
6648 South Ave Holland OH 43528-9507 |
| Practice Telephone | (567) 703-9064 |
| Mailing Telephone | 5677039064 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |
| 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) |
CDCA161350 | OH | Behavioral Health & Social Service Providers |
| Street Address |
6648 SOUTH AVE |
| City | HOLLAND |
| State | OH |
| Zip Code | 43528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285143594 | Bryans Treatment Center | Case Management | 6648 South Ave, Holland, OH 43528 | 2017-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| Find all providers in zip 43528 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1841780921 | Timothy Patrick Murphy | Counselor | 6202 Trust Dr, Holland, OH 43528-8425 | 2018-05-15 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1821516659 | Todd Bieber | Counselor | 6202 Trust Drive, Holland, OH 43528 | 2017-08-31 |
| 1992238141 | Jamie Robinson-perrin | Counselor | 350 S. Irwin Rd., Holland, OH 43528 | 2017-04-05 |
| 1699214171 | Kim Brown | Counselor | 7015 Spring Meadows West Drive, Suite 102, Holland, OH 43528 | 2017-02-17 |
| 1932569407 | William Rietveld | Counselor | 665 136th Ave, Suite 50, Holland, MI 49424-1897 | 2016-02-26 |
| 1013376326 | Sonia Rae Horwitz | Counselor | 82 Buck Rd Ste 2, Holland, PA 18966-1751 | 2016-02-15 |
| 1720140585 | Linda M Dryfhout | Counselor | 729 Lincoln Ave, Holland, MI 49423-5428 | 2006-12-15 |
| Find all providers in HOLLAND | ||||
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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.