SHIRLEY HART (NPI# 1265058341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265058341 |
| Entity Type | Individual |
| Full Name | SHIRLEY HART |
| Credential | DIRECTOR |
| Practice Address |
708 N Jackson St Raeford NC 28376-2218 |
| Mailing Address |
116 E Elwood Ave Raeford NC 28376-2940 |
| Practice Telephone | 9102736137 |
| Mailing Telephone | 9102736137 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| 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) |
NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 57-1203135 | 05 |
| Street Address |
708 N JACKSON ST |
| City | RAEFORD |
| State | NC |
| Zip Code | 28376-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185104 | Elite Supply Services, Inc. | Durable Medical Equipment & Medical Supplies | 2148 Bus-us 401, Raeford, NC 28376 | 2020-05-18 |
| 1205485695 | Brenda P Gregorio | Technician | 297 Gregorios Ln, Raeford, NC 28376 | 2019-09-09 |
| 1083197115 | Jennifer Picerno Bowyer | Nurse Practitioner | 929 Prospect Ave., Raeford, NC 28376 | 2018-09-14 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1508398991 | Rockfish Pharmacy Inc | Pharmacy | 221 Flagstone Lane, Raeford, NC 28376 | 2017-04-03 |
| 1205281235 | William Fiebig | Nurse Practitioner | Hoke Hospital, 210 Medical Pavilion Drive, Raeford, NC 28376 | 2016-04-27 |
| 1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
| 1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
| 1649658287 | Divine Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 320 Birch St, Raeford, NC 28376 | 2015-05-15 |
| 1992192298 | David Abdulhaqq | Counselor | 225 Aggies Lane, Raeford, NC 28376 | 2015-04-24 |
| Find all providers in zip 28376 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801319991 | Mechele Rozier Avery | Counselor | 400 Moorea Dr, Raeford, NC 28376-7978 | 2017-07-20 |
| 1306392139 | Jennifer L Pringle | Counselor | 284 Northwoods Dr, Raeford, NC 28376-7986 | 2016-08-31 |
| 1992192298 | David Abdulhaqq | Counselor | 225 Aggies Lane, Raeford, NC 28376 | 2015-04-24 |
| 1083001895 | Shonda Mciver | Counselor | 225 Aggies Ln, Raeford, NC 28376-7285 | 2015-04-20 |
| 1063718419 | Cornerstone Treatment Facility, Inc. | Counselor | 1958 Turnpike Rd, Raeford, NC 28376-8597 | 2011-02-02 |
| 1447389853 | Robert Lamont Smith Sr. | Counselor | 402 Harris Ave, Raeford, NC 28376-3112 | 2007-03-02 |
| 1356407977 | Deborah Ann Fike | Counselor | 270 Filly Ln, Raeford, NC 28376-5610 | 2006-12-28 |
| 1023122710 | Program Resource Institute, Inc. | Counselor | 113 W Elwood Ave, Raeford, NC 28376-2801 | 2006-08-18 |
| 1891305439 | Clear Cut Counseling Pllc | Counselor | 284 Northwoods Dr, Raeford, NC 28376-7986 | 2020-08-07 |
| 1124566401 | Alexandra Barth | Counselor | 121 E Elwood Ave, Raeford, NC 28376 | 2017-02-07 |
| Find all providers in RAEFORD | ||||
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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.