BROOKE DAVIS (NPI# 1346753662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346753662 |
Entity Type | Individual |
Full Name | BROOKE DAVIS |
Practice Address |
111 N High St Waverly OH 45690 |
Mailing Address |
313 W 6th St Waverly OH 45690-1604 |
Practice Telephone | 7409477581 |
Enumeration Date | 2017-11-08 |
Last Update Date | 2019-05-31 |
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) |
LCDCIII.161879 | OH | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.164694 | OH | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
QMHS | OH | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
14572 Us Rt 23 Suite C, Waverly, OH 45690 | 7409477581 | |
4350 Gallia St, New Boston, OH 45662 | 7403546550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215554589 | Brooke Brianne Davis | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021-2956 | 2020-07-02 |
1982231254 | Brooke Davis | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-03-25 |
1407491087 | Brooke Lynette Davis | Student in an Organized Health Care Education/Training Program | 2450 S Vine St, Denver, CO 80210-5264 | 2019-11-07 |
1003463969 | Brooke Alyssa Davis | Nurse Practitioner | 2630 E 7th St Ste 210, Charlotte, NC 28204-4319 | 2019-08-23 |
1720632615 | Brooke Davis | Health Educator | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-07-29 |
1629534979 | Brooke Renee Davis | Registered Nurse | 1340 Hal Greer Blvd, Huntington, WV 25701-0195 | 2019-02-12 |
1235686759 | Brooke Davis | Nurse Practitioner | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3551 | 2016-09-01 |
1437603636 | Brooke Davis | Social Worker | 12271 Us Highway 301 N, Parrish, FL 34219-8410 | 2016-08-05 |
1396128013 | Brooke Davis | Community Health Worker | 400 North East Third, Kingston, OK 73439 | 2015-06-30 |
1710371844 | Brooke Davis | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2015-03-26 |
Street Address |
111 N HIGH ST |
City | WAVERLY |
State | OH |
Zip Code | 45690 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376144873 | Cassondra Barber | Counselor | 111 N High St, Waverly, OH 45690-1343 | 2020-11-03 |
1821647959 | Jessie Lynn Colter Jones I | Counselor | 111 N High St, Waverly, OH 45690-1343 | 2019-09-11 |
1477020725 | Alyssa Lee Lambert | Counselor | 111 N High St, Waverly, OH 45690-1343 | 2018-10-25 |
1780169052 | Kayla Lee Hamlin | Counselor | 111 N High St, Waverly, OH 45690-1343 | 2018-10-02 |
1689187577 | Heather Tyler | Counselor | 111 N High St, Waverly, OH 45690-1343 | 2017-11-14 |
1679085971 | Brittany Nicole Wells | Counselor | 111 N High St, Waverly, OH 45690-1343 | 2017-10-27 |
1508377136 | Belinda Sue Ballengee | Counselor | 111 N High St, Waverly, OH 45690-1343 | 2017-10-23 |
1245759299 | Lori Taylor | Counselor | 111 N High St, Waverly, OH 45690 | 2017-09-11 |
1639696651 | Amy Lynn Fyffe | Counselor | 111 N High St, Waverly, OH 45690-1343 | 2017-08-30 |
1336667336 | Michael John Randall | Counselor | 111 N High St, Waverly, OH 45690-1343 | 2017-08-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
1619483179 | Ticia Lewis | Counselor | 14532 State Route 23, Waverly, OH 45690 | 2017-12-20 |
1205342136 | Criston B Evans | Licensed Practical Nurse | 14532 Us Highway 23, Waverly, OH 45690 | 2017-12-14 |
1447763313 | Jody Ryan Colley | Counselor | 14572 St. Rt. 23, Waverly, OH 45690 | 2017-11-14 |
Find all providers in zip 45690 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
1922572353 | Kristin Patricia Wilson | Counselor | 196c E Emmitt Ave, Waverly, OH 45690-1334 | 2019-01-18 |
1821587718 | Cathy Cummings | Counselor | 14416 Us Highway 23, Waverly, OH 45690-9337 | 2018-05-07 |
1821587973 | Jonathan Leatherwood | Counselor | 14572 Us Highway 23 Ste E, Waverly, OH 45690-9448 | 2018-05-04 |
1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
1164922548 | Brenda Jones | Counselor | 14572 Us Highway 23 Ste F, Waverly, OH 45690-9454 | 2018-02-13 |
Find all providers in WAVERLY |
Please comment or provide details below to improve the information on BROOKE DAVIS.
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.