CHRISTIE PEMBERTON (NPI# 1174061485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174061485 |
| Entity Type | Individual |
| Full Name | CHRISTIE PEMBERTON |
| Practice Address |
1108 Lapeer Rd Flint MI 48503-2704 |
| Practice Telephone | 8102327919 |
| Practice Fax Number | 8102327913 |
| Mailing Telephone | 8102327919 |
| Mailing Fax Number | 8102327913 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| 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) |
Behavioral Health & Social Service Providers |
| Street Address |
1108 LAPEER RD |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497986483 | Flint Odyssey House, Inc. | Community/Behavioral Health | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2009-08-07 |
| 1205471471 | Caitlyn Grace-mansour Berens | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2019-11-12 |
| 1457901720 | Anthony Floyd | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2019-09-18 |
| 1003463894 | Jacqueline Gallant | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2019-08-26 |
| 1649827817 | Samantha Dunning | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2019-08-22 |
| 1447719109 | Timothy Fisher | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2019-03-13 |
| 1497213508 | Latasha Smith | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2019-03-07 |
| 1700399193 | Rachel Randolph | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2017-11-08 |
| 1851829501 | Zina Monique Mcmullen | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2017-05-25 |
| 1952855157 | Samantha Mccullough | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2016-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154857423 | Carolyn Denise Scott | Counselor | 529 M.l. King, Jr. Ave., Flint, MI 48502 | 2017-05-05 |
| 1174073480 | Rooted In Love Counseling Services | Counselor | 3397 Windland Dr, Flint, MI 48504-1764 | 2016-10-11 |
| 1518319367 | Leann Littlejohn | Counselor | 529 Ml King Ave., Flint, MI 48502 | 2016-07-05 |
| 1801255054 | Jenna Pillow | Counselor | 931 Martin Luther King Ave, Flint, MI 48503-1488 | 2016-02-16 |
| 1710344841 | Virlyn Allen-poe | Counselor | 4105 Keyes St, Flint, MI 48504-2294 | 2016-01-20 |
| 1932573706 | Larry Lenoir | Counselor | G3500 Flushing Rd Ste 250, Suite 250, Flint, MI 48504-4238 | 2015-11-17 |
| 1124499835 | Harold Hill | Counselor | 323 Allendale Pl, Flint, MI 48503-2335 | 2015-10-08 |
| 1093185712 | Jayme Gene Wagner | Counselor | 529 M. L. King, Jr. Ave, Flint, MI 48502 | 2015-10-07 |
| 1821468489 | Shaun Weck | Counselor | 529 Martin Luther King Blvd # Jr, Flint, MI 48502-2002 | 2015-09-25 |
| 1427440874 | Rasheeda Mitchell | Counselor | 2387 S Linden Rd Ste 138, Flint, MI 48532-5488 | 2015-02-23 |
| Find all providers in FLINT | ||||
Please comment or provide details below to improve the information on CHRISTIE PEMBERTON.
| 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.