DANIELLA T'IARA HARRIS CAMPBELL (NPI# 1386142529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386142529 |
| Entity Type | Individual |
| Full Name | DANIELLA T'IARA HARRIS CAMPBELL |
| Credential | MCJ, CADC |
| Practice Address |
1523 S Fairmount St Davenport IA 52802-3644 |
| Practice Telephone | 5633222667 |
| Practice Fax Number | 5633223671 |
| Mailing Telephone | 5633222667 |
| Mailing Fax Number | 5633223671 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |
| 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) |
15085 | IA | Behavioral Health & Social Service Providers |
| Street Address |
1523 S FAIRMOUNT ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52802-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236942 | Center for Alchol & Drug Services, Inc. | Clinic/Center | 1523 S Fairmount St, Davenport, IA 52802 | 2005-06-27 |
| 1891394003 | Traci Anne Swift | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2020-10-19 |
| 1831747922 | Heather Snyder | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2019-08-31 |
| 1811481450 | Robert Young Center for Community Mental Health | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-06-18 |
| 1235637869 | Mica Rae Frandsen | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-29 |
| 1083112098 | Annalyse Gratzek | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-24 |
| 1902314388 | Krystle Krauss | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-19 |
| 1699283036 | Jennifer Lynn Hunter | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-19 |
| 1215445689 | Jesse Hamerlinck | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-18 |
| 1467960906 | Vickie Lynne Streicher | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962042465 | William Albert Childers Jr. | Technician | 1455 W. 8th St., Davenport, IA 52802 | 2020-01-13 |
| 1790293181 | Amy Ruth Allison | Counselor | 1523 S. Fairmount St., Davenport, IA 52802 | 2018-01-19 |
| 1043467269 | Cindy May Hannon | General Acute Care Hospital | 1848 W 7th St, Davenport, IA 52802-1029 | 2008-08-19 |
| 1205063096 | Ryan Bobst | Student in an Organized Health Care Education/Training Program | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-18 |
| 1902033673 | Angela C Wells | Social Worker | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-19 |
| 1891922563 | Christy A Carter | Social Worker | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-19 |
| 1548892359 | Annemarie Irene Chambliss | Counselor | 1202 W 3rd St, Davenport, IA 52802-1344 | 2020-02-10 |
| 1457909103 | Margaret Olin Meloy | Social Worker | 1202 W 3rd St, Davenport, IA 52802-1344 | 2019-08-27 |
| 1629544929 | Rebecca Schroeder | Behavior Technician | 1202 W 3rd St, Davenport, IA 52802-1344 | 2018-10-15 |
| 1225503832 | Nora Elizabeth Wenzel | Behavior Technician | 1202 W 3rd St, Davenport, IA 52802-1344 | 2018-10-10 |
| Find all providers in zip 52802 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689141095 | Susan Nora Hatten | Counselor | 505 1st St, Davenport, WA 99122-0152 | 2018-10-24 |
| 1790293181 | Amy Ruth Allison | Counselor | 1523 S. Fairmount St., Davenport, IA 52802 | 2018-01-19 |
| 1205344827 | Christina Sharer | Counselor | 12160 S Utah Ave, Davenport, IA 52804-9537 | 2018-01-17 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1003231143 | Jo Carthey | Counselor | 2319 E 29th St, Davenport, IA 52803-2107 | 2014-02-26 |
| 1689099772 | Austin J. Gross | Counselor | 2322 E Kimberly Rd Ste 200n, Davenport, IA 52807-7216 | 2014-02-26 |
| 1710295993 | Jennifer Reid Dellasanta | Counselor | 516 Meadow Green Dr, Davenport, FL 33837-5724 | 2010-09-21 |
| 1477742500 | Daniel W Pitman | Counselor | 1102 8th Street, Davenport, WA 99122 | 2007-10-15 |
| 1831381342 | Lincoln County Alcohol Drug Center | Counselor | 505 First St, Davenport, WA 99122-0152 | 2007-08-17 |
| 1891394003 | Traci Anne Swift | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2020-10-19 |
| Find all providers in DAVENPORT | ||||
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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.