REZELL GORE (NPI# 1194126276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194126276 |
| Entity Type | Individual |
| Full Name | REZELL GORE |
| Credential | LCAS-A, MSW |
| Practice Address |
212 Elm St Aberdeen NC 28315-2802 |
| Mailing Address |
Po Box 485 Red Springs NC 28377-0485 |
| Practice Telephone | 9102094332 |
| Practice Fax Number | 9107570041 |
| Mailing Telephone | 9102094332 |
| Mailing Fax Number | 9107570041 |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-20470 | NC | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C010441 | NC | Behavioral Health & Social Service Providers |
| Street Address |
212 ELM ST |
| City | ABERDEEN |
| State | NC |
| Zip Code | 28315-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720158389 | Allen Lamont Brooks | Counselor | 212 Elm St, Aberdeen, NC 28315-2802 | 2006-11-09 |
| 1497235626 | Love Life Counseling Services, Pllc | Counselor | 212 Elm St, Aberdeen, NC 28315-2802 | 2018-08-16 |
| 1023598448 | Allen L Brooks Professional Counseling Service | Community/Behavioral Health | 212 Elm St, Aberdeen, NC 28315-2802 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942821681 | Mission Physical Therapy LLC | Clinic/Center | 155 Allison Page Road, Suite B, Aberdeen, NC 28315 | 2020-05-05 |
| 1154768653 | Dr Cameron and Associates, Pllc | Dentist | 292 Turner St., Aberdeen, NC 28315 | 2013-05-24 |
| 1891043493 | Anne M Kratzer | Doula | 1000 Robinwood Rd, Aberdeen, NC 28315 | 2012-08-29 |
| 1912283912 | Triune Laboratory | Clinical Medical Laboratory | 325b Fields Dr, Aberdeen, NC 28315 | 2011-10-24 |
| 1013206705 | Alvin D. Wilson | Social Worker | 115 Ashleigh Blvd, Aberdeen, NC 28315 | 2011-04-01 |
| 1841593167 | Constance L. Pearson | Counselor | 100 Magnolial Square Court, Aberdeen, NC 28315 | 2010-12-08 |
| 1568799617 | Tammie C Watkins | Pharmacist | 15911 Hwy 15-501, Aberdeen, NC 28315 | 2009-11-11 |
| 1518002203 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 604 Magnolia Drive, Aberdeen, NC 28315 | 2007-02-20 |
| 1891855847 | Hope Family Center PC | Family Medicine | 210 Magnolia Square Ct, Aberdeen, NC 28315 | 2006-12-11 |
| 1154427318 | Gary P Dackor Dc Inc | Chiropractor | 1701 North Sandhills Blvd. Suite D, Aberdeen, NC 28315 | 2006-09-15 |
| Find all providers in zip 28315 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382002 | Empowerment Counseling, LLC | Counselor | 912 S Lawson St Apt 2, Aberdeen, SD 57401-6420 | 2020-09-29 |
| 1639789563 | Desire C Shores | Counselor | 2700 Simpson Ave Ste 100, Aberdeen, WA 98520-4335 | 2020-08-05 |
| 1952936593 | Phyllis R. Byrd | Counselor | 10185 Aberdeen Rd, Aberdeen, NC 28315-7739 | 2020-03-04 |
| 1548892672 | Anderson Therapy Group Pllc | Counselor | 104 W 4th St Ste 103, Aberdeen, WA 98520-3932 | 2020-02-06 |
| 1508317074 | Total Package Medspa LLC | Counselor | 1409 6th Ave Se Ste 5, Aberdeen, SD 57401-4950 | 2016-10-20 |
| 1932459658 | Dyneil D Moriarty | Counselor | 703 3rd Avenue Se, Aberdeen, SD 57401-4508 | 2012-09-11 |
| 1174809446 | Amanda Jean Lautenschlager | Counselor | 110 6th Ave Se Ste 200, Aberdeen, SD 57401-6266 | 2011-10-31 |
| 1790005361 | Annette Hulm | Counselor | 703 3rd Ave Se, Aberdeen, SD 57401-4508 | 2010-06-07 |
| 1265754253 | Cynthia Sprague | Counselor | 1403 Pannell Dr Apt H, Aberdeen, MD 21001 | 2010-02-18 |
| 1255660023 | Dawn M Richards | Counselor | 502 East Melgaard Rd., Aberdeen, SD 57401-2615 | 2009-12-08 |
| Find all providers in ABERDEEN | ||||
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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.