DR. TRESHONDA BAUCOM (NPI# 1396205969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396205969 |
| Entity Type | Individual |
| Full Name | DR. TRESHONDA BAUCOM |
| Credential | EDD, LMHC |
| Practice Address |
870 Clark St Ste 1030 Oviedo FL 32765-9270 |
| Practice Telephone | 4076252949 |
| Mailing Telephone | 4076252949 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH16946 | FL | Behavioral Health & Social Service Providers |
| Street Address |
870 CLARK ST STE 1030 |
| City | OVIEDO |
| State | FL |
| Zip Code | 32765-9270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629477203 | Britta Boekamp | Counselor | 870 Clark St Ste 1030, Oviedo, FL 32765-9270 | 2014-08-19 |
| 1306494992 | Mary P Moriarty | Counselor | 870 Clark St Ste 1030, Oviedo, FL 32765-9270 | 2019-08-28 |
| 1629625066 | Enriched Life Counseling & Consulting, LLC | Counselor | 870 Clark St Ste 1030, Oviedo, FL 32765-9270 | 2019-08-21 |
| 1619436011 | Tiffany Gutierrez | Counselor | 870 Clark St Ste 1030, Oviedo, FL 32765-9270 | 2019-03-15 |
| 1740758275 | Knowledge Empowers You Counseling Solutions, LLC | Poetry Therapist | 870 Clark St Ste 1030, Oviedo, FL 32765-9270 | 2018-11-02 |
| 1972000123 | Britta Boekamp Psy D LLC | Clinic/Center | 870 Clark St Ste 1030, Oviedo, FL 32765-9270 | 2018-04-12 |
| 1487154381 | Simple Life Counseling LLC | Clinic/Center | 870 Clark St Ste 1030, Oviedo, FL 32765-9270 | 2018-02-16 |
| 1831639285 | Alexis Honeycutt | Counselor | 870 Clark St Ste 1030, Oviedo, FL 32765-9270 | 2017-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
| 1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
| 1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
| 1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
| 1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
| 1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
| 1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
| 1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
| Find all providers in zip 32765 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457203 | Marylon Larkins | Counselor | 1525 W Broadway St, Oviedo, FL 32765-6576 | 2020-11-06 |
| 1619588480 | Fields Counseling, LLC | Counselor | 1750 W Broadway St Ste 106, Oviedo, FL 32765-9618 | 2020-08-13 |
| 1639729643 | Elizabeth Van Arsdale Yantorni | Counselor | 1519 Myrtle Oaks Trl, Oviedo, FL 32765-9520 | 2019-09-12 |
| 1528532231 | Christina L Kavenagh | Counselor | 720 Bentley St, Oviedo, FL 32765-8779 | 2019-01-15 |
| 1063912509 | Delaney Anderson-davis | Counselor | 980 Kerwood Cir, Oviedo, FL 32765-6147 | 2018-02-20 |
| 1962937201 | Susan Singer | Counselor | 1012 Pearson Dr, Oviedo, FL 32765-7041 | 2017-04-24 |
| 1639521032 | Shelby Maniccia | Counselor | 513 Alafaya Woods Blvd, Apt H, Oviedo, FL 32765-5519 | 2016-07-08 |
| 1720432370 | Ashley Squillante | Counselor | 4538 Bond Ln, Oviedo, FL 32765-9600 | 2016-04-20 |
| 1306232103 | Wendy Mosholder-hart | Counselor | 1759 W Broadway St Ste 3, Oviedo, FL 32765-8128 | 2015-04-09 |
| 1235527433 | Mark Davenport | Counselor | 1592 Francois Court, Oviedo, FL 32765-7594 | 2014-12-23 |
| Find all providers in OVIEDO | ||||
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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.