CLIVIA MILBURN (NPI# 1235530635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235530635 |
| Entity Type | Individual |
| Full Name | CLIVIA MILBURN |
| Credential | BA, M.ED., MS, LCASA |
| Practice Address |
5108 Reagan Dr Charlotte NC 28206-3103 |
| Mailing Address |
7828 Meadowdale Ln Charlotte NC 28212-4815 |
| Practice Telephone | 7045360505 |
| Mailing Telephone | 7045641080 |
| Mailing Fax Number | 7045376886 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NC | Behavioral Health & Social Service Providers |
| Street Address |
5108 REAGAN DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28206-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972809903 | Carolina Access Support & Enrichment Services Inc | Physical Therapist | 5108 Reagan Dr, Suite 10, Charlotte, NC 28206-3103 | 2011-02-09 |
| 1255948196 | Marcus Jamar Gaddy | Social Worker | 5108 Reagan Dr, Charlotte, NC 28206-3103 | 2020-09-24 |
| 1336771898 | Sam Hawk | Counselor | 5108 Reagan Dr, Suite 14, Charlotte, NC 28206-1395 | 2020-02-12 |
| 1093213621 | Mishelle L Lockerby | Counselor | 5108 Reagan Dr, Charlotte, NC 28206 | 2018-01-29 |
| 1790295731 | Rebecca Schrenker | Social Worker | 5108 Reagan Dr, Charlotte, NC 28206-3103 | 2017-10-04 |
| 1770030918 | Caroline Watkins | Social Worker | 5108 Reagan Dr, Charlotte, NC 28206-3103 | 2016-09-06 |
| 1447705082 | Alexis Brightman | Psychologist | 5108 Reagan Dr, Suite 14, Charlotte, NC 28206-3103 | 2016-08-24 |
| 1558755116 | Chenita Freeman | Counselor | 5108 Reagan Dr, Suite 14, Charlotte, NC 28206-3103 | 2015-03-22 |
| 1275922593 | Britney Elizabeth Harrington | Counselor | 5108 Reagan Dr, Charlotte, NC 28206-3103 | 2015-01-12 |
| 1083022008 | Amber Snyder | Social Worker | 5108 Reagan Dr, Charlotte, NC 28206-3103 | 2014-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1609433291 | Life Interrupted Counseling Services | Counselor | 4045 N Tryon St Ste A, Charlotte, NC 28206 | 2019-05-20 |
| 1295141216 | Taqiyah Camyah Barber | Prosthetic/Orthotic Supplier | 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 | 2014-07-10 |
| 1386976033 | Olugboyega Remi Fisher | Community Health Worker | 1801 N.tryon Street, Suiteb114, Charlotte, NC 28206 | 2010-02-05 |
| 1821225699 | Alzenia Kelly Morris | Counselor | 1801 N Tryon Street Ste 339, Charlotte, NC 28206 | 2009-06-18 |
| 1942479936 | American Current Care of North Carolina PC | Clinic/Center | 2835 Jeff Adams Drive, Suite A, Charlotte, NC 28206 | 2008-02-25 |
| 1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
| 1255479135 | Tameka Denise Jenkins | Counselor | 1600 Norris Ave., Charlotte, NC 28206 | 2007-02-02 |
| 1871655803 | Dwight Hollier | Counselor | 1801 North Tryon Street, Suite 309, Charlotte, NC 28206 | 2006-12-15 |
| 1487172060 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4220 N Tryon St, Charlotte, NC 28206 | 2017-09-05 |
| Find all providers in zip 28206 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574829 | Steve Hanna Interventions | Counselor | 8101 Providence Court Ln Apt 101, Charlotte, NC 28270-2385 | 2020-10-01 |
| 1164036976 | Diamond Corbin | Counselor | 3553 N Sharon Amity Rd Ste 200, Charlotte, NC 28205-8992 | 2020-08-31 |
| 1366053035 | Triumph Therapeutic Services Pllc | Counselor | 620 Parkaire Ln Apt 1024, Charlotte, NC 28217-2492 | 2020-08-14 |
| 1407472582 | Sarah Ann Grant | Counselor | 1617 Fountain Vw, Charlotte, NC 28203-5829 | 2020-06-24 |
| 1164046728 | Kevin Thomas Egroff | Counselor | 2134 Augusta St, Charlotte, NC 28216-4603 | 2020-05-29 |
| 1861039729 | No Bounds Care Inc of Nc | Counselor | 615 E 6th St Ste 102, Charlotte, NC 28202-2918 | 2019-12-10 |
| 1174168850 | Stress Management, LLC | Counselor | 8915 Legacy Park Dr Apt C, Charlotte, NC 28269-9622 | 2019-11-17 |
| 1154964062 | Setfreesoldiers, Inc | Counselor | 4900 Providence Rd, Charlotte, NC 28226-5848 | 2019-10-23 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1518508340 | Modern Era Counseling, Pllc | Counselor | 5200 Park Rd Ste 218-d, Charlotte, NC 28209-3650 | 2019-10-02 |
| Find all providers in CHARLOTTE | ||||
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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.