TENELLE ELAINE STREETER


Address: 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057
Phone: 6019564816

TENELLE ELAINE STREETER (NPI# 1407370109) 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) 1407370109
Entity Type Individual
Full Name TENELLE ELAINE STREETER
Practice Address 460 Briarwood Dr Ste 510
Jackson
MS 39206-3057
Mailing Address Po Box 13509
Jackson
MS 39236-3509
Practice Telephone 6019564816
Practice Fax Number 6019564816
Mailing Telephone 6019564816
Mailing Fax Number 6019564817
Enumeration Date 2017-08-03
Last Update Date 2017-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
PH3532 MS Behavioral Health & Social Service Providers

Office Location

Street Address 460 BRIARWOOD DR STE 510
City JACKSON
State MS
Zip Code 39206-3057

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972631380 David Edward Marion Counselor 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 2007-02-28
1821603705 Latonya Polk Counselor 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 2020-09-09
1669012647 Stacy Ann Clark Counselor 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 2020-01-08
1831731827 Senida Taylor Counselor 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 2019-10-11
1245871698 Tracey Bernard Davidson Case Manager/Care Coordinator 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 2019-10-07
1558911859 Monica Darby Counselor 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 2019-09-18
1831747815 Brandi Spires Counselor 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 2019-09-03
1902452154 Travaughn Wilson Case Manager/Care Coordinator 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 2019-08-14
1942855788 Willie Hilliard IIi Case Manager/Care Coordinator 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 2019-08-08
1730734542 Elaine Archie Maye Case Manager/Care Coordinator 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 2019-08-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023661824 Latoya Lanette Trunell Occupational Therapy Assistant 787 East Northside Drive, Jackson, MS 39206 2019-07-20
1649839291 Andrew Harris Dentist 4505 I-55 Frontage Rd. N, Jackson, MS 39206 2019-06-07
1679065916 Savannah Lee Zachry Physical Therapist 5140 Galaxie Dr Ste 108, Jackson, MS 39206 2018-06-02
1669987723 Harmony House Calls LLC Nurse Practitioner 5140 Galaxie Dr Ste 105, Jackson, MS 39206 2017-12-11
1841719903 Yolanda Yvette Bell Nurse Practitioner 6064 Whitestone Rd, Jackson, MS 39206 2017-09-10
1760907117 Anthony Brown Jr. Physical Therapist 5411 I-55 North, Jackson, MS 39206 2017-08-07
1114457132 Ambric N Williams Occupational Therapy Assistant 6017 Whitestone Rd, Jackson, MS 39206 2017-06-13
1952835613 Peak Chiropractic Care, LLC Chiropractor 4915 I-55 North, Suite 201b, Jackson, MS 39206 2017-04-19
1447798293 Peterkin and Associates of Mississippi Inc Community/Behavioral Health 5155 Galaxie Drive, Suite F, Jackson, MS 39206 2017-02-01
1952844219 Jennifer Penick Counselor 460 Briarwood Drive, Suite 510, Jackson, MS 39206 2016-11-18
Find all providers in zip 39206

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629677893 Jackson Healing Clinic LLC Counselor 2020 Cascade Dr, Jackson, MI 49203-3810 2020-10-20
1568069524 Philip Ray Nicholas Counselor 19 Wood Duck Cv, Jackson, TN 38305-6632 2020-10-02
1184242711 New Life Goals, LLC Counselor 504 Cooper Rd, Jackson, MS 39212-4704 2020-07-09
1548881048 Gloria Dansby-giles Counselor 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 2020-05-06
1962023812 Kandace Ross Counselor 528 Woodbury Rd, Jackson, MS 39206-4830 2020-05-01
1629600945 Modern Hope of Ms,llc Counselor 5825 Kings Pl, Jackson, MS 39211-3321 2020-02-05
1003447657 Chandler & Associates, LLC Counselor 1900 Dunbarton Dr Ste G, Jackson, MS 39216-5015 2020-02-03
1659910701 Laura E Rutledge Counselor 1437 Old Square Rd Ste 101, Jackson, MS 39211-5533 2020-01-06
1154960961 Timothy A Norris Counselor 5026 Raintree Dr, Jackson, MS 39272-5753 2019-12-26
1982243838 Paula Jane Blocker Counselor 401 West St Ste 117, Jackson, MN 56143-1219 2019-12-24
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39206

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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