MRS. DESTINIE CHANTAL WEEMS (NPI# 1386136083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386136083 |
| Entity Type | Individual |
| Full Name | MRS. DESTINIE CHANTAL WEEMS |
| Credential | LPC |
| Practice Address |
1403 43rd Ave Gulfport MS 39501-2545 |
| Mailing Address |
Po Box 2622 Gulfport MS 39505-2622 |
| Practice Telephone | 6014390767 |
| Practice Fax Number | 2282410326 |
| Mailing Telephone | 6014390767 |
| Mailing Fax Number | 2282410326 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2020-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2142 | MS | Behavioral Health & Social Service Providers |
| Street Address |
1403 43RD AVE |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457365447 | Joan S Waldroup | Social Worker | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2006-07-28 |
| 1477180958 | Wright and Associates Medical Logistics LLC | Psychiatry & Neurology | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2020-03-25 |
| 1942833231 | Sherri Lynne Sabin | Social Worker | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2020-02-15 |
| 1679106967 | Restoration Counseling Services, LLC | Social Worker | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2020-02-15 |
| 1356971634 | Thrive Counseling, Pllc | Counselor | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2020-01-25 |
| 1689139016 | Roxanne Cavataio, Lcsw, Pllc | Social Worker | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2019-02-11 |
| 1235694191 | Joan S Waldroup, Lcsw, Pllc | Social Worker | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2019-02-05 |
| 1457829202 | Art Behavioral Health, Pllc | Nurse Practitioner | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2018-11-09 |
| 1992270995 | Julie K Martin, Pmhnp-bc, LLC | Nurse Practitioner | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2018-10-05 |
| 1689122277 | Julie K Martin | Nurse Practitioner | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2016-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396376257 | Jimmy Glenn Doolittle | Counselor | 1520 29th Ave Ste Gulfport, Gulfport, MS 39501-2843 | 2020-01-30 |
| 1902395361 | Bolt Counseling Services | Counselor | 1921 24th Ave, Gulfport, MS 39501-2976 | 2018-05-01 |
| 1669979977 | Georgianna Dorch | Counselor | 2224 24th Ave, Gulfport, MS 39501-4603 | 2018-04-12 |
| 1033622766 | Casey Dodd Bearss | Counselor | 1520 29th Ave Ste 25, Gulfport, MS 39501-2843 | 2017-11-16 |
| 1528467768 | Kari Rusnak | Counselor | 1285 Spring St Ste B, Gulfport, MS 39507-3423 | 2014-08-13 |
| 1194014787 | Carolyn W White Bell | Counselor | 15012 Swan Lake Pl, Gulfport, MS 39503-8295 | 2011-04-04 |
| 1881922276 | Phyllis G. Falcon | Counselor | 205 Ridgeway Dr, Gulfport, MS 39507-3920 | 2009-11-24 |
| 1609101088 | Richard Strebeck | Counselor | 11201 Old Highway 49, Gulfport, MS 39503-4143 | 2009-10-02 |
| 1740329200 | Jane Desern Carey | Counselor | 2413 23rd Ave, Gulfport, MS 39501-4616 | 2007-02-05 |
| 1770502239 | Carol Buchanan Jones | Counselor | 1856 Beach Dr, Psychology and Counseling, Gulfport, MS 39507-1508 | 2006-07-18 |
| Find all providers in GULFPORT | ||||
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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.