DEMEITRIUS M WHITEHURST (NPI# 1407331135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407331135 |
Entity Type | Individual |
Full Name | DEMEITRIUS M WHITEHURST |
Credential | B.A., CSAC, QMHP-A-C |
Practice Address |
12388 Warwick Blvd Ste 302, Newport News, Va 23602 Ste 302 Norfolk VA 23606-2360 |
Mailing Address |
12388 Warwick Blvd Ste 302 Newport News VA 23606-3858 |
Practice Telephone | 7576796058 |
Mailing Telephone | 7576796058 |
Enumeration Date | 2018-09-27 |
Last Update Date | 2018-09-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0710102215 | VA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NONE | 000000000 | 01 |
Street Address |
12388 WARWICK BLVD STE 302, NEWPORT NEWS, VA 23602 STE 302 |
City | NORFOLK |
State | VA |
Zip Code | 23606-2360 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
Find all providers in zip 23606 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154885366 | Transforming Hearts, LLC | Counselor | 900 Granby St Ste 242, Norfolk, VA 23510-2503 | 2019-01-22 |
1114449162 | Second Start, LLC | Counselor | 1432 Baychester Ave Apt A4, Norfolk, VA 23503-2320 | 2017-07-12 |
1760807754 | Sara Heller | Counselor | 39 Grant St, Norfolk, CT 06058-1327 | 2014-02-27 |
1942634977 | Elizabeth Nicole Snow | Counselor | 6325 N Center Dr Ste 202, Norfolk, VA 23502-0019 | 2013-08-27 |
1255689527 | Andrea Danette Sutton | Counselor | 402 E Little Creek Rd, Norfolk, VA 23505-2714 | 2012-08-16 |
1609137108 | Kelly M Higgins | Counselor | 9515 Dulwich Cres, Norfolk, VA 23503-2850 | 2012-06-01 |
1386951499 | Stacy Richardson | Counselor | 521 Park Cres, Norfolk, VA 23511-4009 | 2010-09-10 |
1639342884 | Donald E Edwards | Counselor | 1001 W Norfolk Ave, Norfolk, NE 68701-5057 | 2008-04-09 |
1073707410 | Janice Gray | Counselor | 110 Kingsley Ln Ste 206, Norfolk, VA 23505-4616 | 2007-08-29 |
1174714794 | Complete Adult & Family Care | Counselor | 734 Maltby Ave, Norfolk, VA 23504-3530 | 2007-08-08 |
Find all providers in NORFOLK |
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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.