DANIELLA T'IARA HARRIS CAMPBELL


Address: 1523 S Fairmount St, Davenport, IA 52802-3644
Phone: 5633222667

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1523 S FAIRMOUNT ST
City DAVENPORT
State IA
Zip Code 52802-3644

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City DAVENPORT
Zip Code 52802

Improve Information

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Dataset Information

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.

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