DOMESTIC VIOLENCE PROJECT, INC (NPI# 1376982736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376982736 |
| Entity Type | Organization |
| Organization Name | DOMESTIC VIOLENCE PROJECT, INC |
| Practice Address |
720 19th St Ne Canton OH 44714-2213 |
| Mailing Address |
Po Box 9459 Canton OH 44711-9459 |
| Practice Telephone | 3304911351 |
| Practice Fax Number | 3304919720 |
| Mailing Telephone | 3304452001 |
| Mailing Fax Number | 3304452007 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |
| Authorized Official Name | MS. MELISSA L PEARCE (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Telephone | 3304452001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
0705 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 1639146095 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639146095 | Domestic Violence Project, Inc | Clinic/Center | 720 19th St Ne, Canton, OH 44714-2213 | 2006-03-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DOMESTIC VIOLENCE PROJECT, INC. | 720 19th St Ne, Canton, OH 44714-2213 |
| Street Address |
720 19TH ST NE |
| City | CANTON |
| State | OH |
| Zip Code | 44714-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639146095 | Domestic Violence Project, Inc | Clinic/Center | 720 19th St Ne, Canton, OH 44714-2213 | 2006-03-03 |
| 1376062109 | Joseph Fisher | Counselor | 720 19th St Ne, Canton, OH 44714-2213 | 2017-09-13 |
| 1609149160 | Julie M Evans | Counselor | 720 19th St Ne, Canton, OH 44714-2213 | 2012-02-14 |
| 1497034441 | Lynn Rochelle Jimenez | Counselor | 720 19th St Ne, Canton, OH 44714-2213 | 2011-08-09 |
| 1821262254 | Theresa Lynn Carroll | Counselor | 720 19th St Ne, Canton, OH 44714-2213 | 2008-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164941365 | Desiree Morgan | Occupational Therapy Assistant | 1634 20th St. N.e., Canton, OH 44714 | 2017-09-19 |
| 1932525706 | Cody Henninge | In Home Supportive Care | 2800 Market Ave N Suite 16, Canton, OH 44714 | 2014-03-17 |
| 1346584984 | Quest Recovery and Prevention Services | Substance Abuse Rehabilitation Facility | 1711 Spring Avenue Nw, Canton, OH 44714 | 2012-11-20 |
| 1780159921 | Lynne Marie Shayko | Counselor | 1341 Market Ave N, Canton, OH 44714 | 2018-10-03 |
| 1427437540 | Robert D Cox | Counselor | 1341 Market Ave N, Canton, OH 44714 | 2015-05-21 |
| 1316336878 | Erika D Putnam | Counselor | 1711 Spring Ave Ne, Canton, OH 44714 | 2015-01-21 |
| 1225435969 | Emily A Custer | Counselor | 1341 Market Ave N, Canton, OH 44714 | 2014-11-24 |
| 1700438363 | Ryan Gernert | Specialist/Technologist | 5323 Gardendale Ave Ne, Canton, OH 44714-1042 | 2019-07-14 |
| 1982171468 | Adrienne Chavers | Home Health | 5438 Market Ave N, Canton, OH 44714-1059 | 2018-11-01 |
| 1912061797 | Living 4 Independence | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4629 Helmsworth Dr Ne, Canton, OH 44714-1162 | 2006-12-19 |
| Find all providers in zip 44714 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1033477906 | Crisis Intervention and Recovery Center, Inc. | Clinic/Center | 832 Mckinley Ave Nw, Canton, OH 44703-2463 | 2012-04-30 |
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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.