MRS. GWENESSA VANCE (NPI# 1396051066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396051066 |
| Entity Type | Individual |
| Full Name | MRS. GWENESSA VANCE |
| Credential | LMSW |
| Practice Address |
1654 E Union St Greenville MS 38703-3250 |
| Practice Telephone | 6623355274 |
| Practice Fax Number | 6623783976 |
| Mailing Telephone | 6623355274 |
| Mailing Fax Number | 6623783976 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
M3658 | MS | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | M3658 | MS | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
M3658 | MS | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | M3658 | MS | Behavioral Health & Social Service Providers |
| Street Address |
1654 E UNION ST |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38703-3250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831206572 | Delta Community Mental Health | Case Management | 1654 E Union St, Greenville, MS 38703-3250 | 2006-08-25 |
| 1467968057 | Carolyn Williams Grant | Counselor | 1654 E Union St, Greenville, MS 38703-3250 | 2017-12-19 |
| 1922344068 | Delta Community Mental Health Services | Community/Behavioral Health | 1654 E Union St, Greenville, MS 38703-3250 | 2012-12-18 |
| 1598001760 | Ann Macvaugh | Counselor | 1654 E Union St, Greenville, MS 38703-3250 | 2012-12-17 |
| 1871862631 | Jonathan Harden | Pharmacist | 1654 E Union St, Greenville, MS 38703-3250 | 2011-12-23 |
| 1821365172 | Karen Parish | Registered Nurse | 1654 E Union St, Greenville, MS 38703-3250 | 2011-11-30 |
| 1700153004 | Rita J Smith | Counselor | 1654 E Union St, Greenville, MS 38703-3250 | 2011-11-30 |
| 1639446917 | Maranda Davis | Counselor | 1654 E Union St, Greenville, MS 38703-3250 | 2011-11-30 |
| 1417263393 | Angela Hundley Carter | Counselor | 1654 E Union St, Greenville, MS 38703-3250 | 2010-08-30 |
| 1851607535 | Jacqueline Adams | Counselor | 1654 E Union St, Greenville, MS 38703-3250 | 2010-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
| 1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
| 1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
| 1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
| 1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
| 1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
| 1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
| Find all providers in zip 38703 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951818 | Infuse Counseling Pllc | Counselor | 235 Commerce St Ste 3, Greenville, NC 27858-9965 | 2020-08-08 |
| 1427671817 | Lauren Gordon | Counselor | 2411 Wesley St Ste 303, Greenville, TX 75401-3368 | 2020-05-20 |
| 1902426927 | Kristy Nicole Wood | Counselor | 114 Cherry Ct Apt D, Greenville, NC 27858-4274 | 2020-04-20 |
| 1578192936 | Magnolia Health & Wellness | Counselor | 211 Commerce St Ste C, Greenville, NC 27858-5030 | 2020-04-06 |
| 1093354482 | Another Way Counseling, LLC | Counselor | 202 Tanner Chase Way, Greenville, SC 29607-6402 | 2020-01-02 |
| 1073157913 | A Soothing & Comforting Touch, Inc | Counselor | 301 Airport Rd Ste E, Greenville, SC 29607-2610 | 2019-11-04 |
| 1073178992 | Chameka Konswela Duncan | Counselor | 126 Wild Dogwood Way, Greenville, SC 29605-5966 | 2019-05-06 |
| 1679137269 | Youth Full Innovations of The Carolina's, LLC | Counselor | 151 Commons Way Ste C1, Greenville, SC 29611-3850 | 2019-04-29 |
| 1851955165 | Crew Case Management and Consulting Services South LLC | Counselor | 210 W Stone Ave Ste Lr1, Greenville, SC 29609-5493 | 2019-04-23 |
| 1437610789 | Positive Directions, LLC | Counselor | 25 Woods Lake Rd Ste 321, Greenville, SC 29607-2762 | 2019-03-28 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38703 |
Please comment or provide details below to improve the information on MRS. GWENESSA VANCE.
| 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.