CAROLINA BUSTAMANTE (NPI# 1417366501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417366501 |
| Entity Type | Individual |
| Full Name | CAROLINA BUSTAMANTE |
| Practice Address |
124 Mallard St Greenville SC 29601-4046 |
| Practice Telephone | 8642411040 |
| Mailing Telephone | 8642411040 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2016-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1417366501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073018370 | Carolina Bustamante | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2018-03-28 |
| Street Address |
124 MALLARD ST |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29601-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821071945 | Michael A Manley | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2005-11-22 |
| 1598366445 | Domonique Holbert | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-11-06 |
| 1003417536 | Nytear Mcclain | Registered Nurse | 124 Mallard St, Greenville, SC 29601-4046 | 2020-11-02 |
| 1053911172 | Whitney Sanders | Registered Nurse | 124 Mallard St, Greenville, SC 29601-4046 | 2020-10-28 |
| 1790392827 | Kelsey Green | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-09-23 |
| 1497366140 | Holden Lecroy | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-08-14 |
| 1942811781 | Jimmy Sercey Jr. | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-08-14 |
| 1063020105 | Marques Petty | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-07-15 |
| 1174159677 | Laura Deaton | Registered Nurse | 124 Mallard St, Greenville, SC 29601-4046 | 2020-03-16 |
| 1689207482 | Margaret Cross | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700305620 | True Sleep Diagnostics | Clinic/Center | 220 North Main St Ste 500, Pmb 104, Greenville, SC 29601 | 2017-09-12 |
| 1245786813 | Yvette Ombougno | Registered Nurse | 200 University Ridge, Greenville, SC 29601 | 2016-09-01 |
| 1477921823 | Laura Gore Siefert | Registered Nurse | 1 Saint Francis Drive, Greenville, SC 29601 | 2015-09-02 |
| 1821493826 | Sarah Fuller | Counselor | 602 Pettigru St, Greenville, SC 29601 | 2014-11-03 |
| 1689088932 | Chenille Taylor | Nurse Practitioner | 201 N. Main Street, Greenville, SC 29601 | 2014-06-15 |
| 1861827842 | Caritas Counseling Services LLC | Community/Behavioral Health | 111 Hampton Avenue, St Mary's Catholic Church, Greenville, SC 29601 | 2013-09-09 |
| 1568790335 | Lynn A. Victory | Counselor | 710 Pettigru Street, The Cottage, Greenville, SC 29601 | 2009-12-06 |
| 1386971448 | Lisa Speach | Nurse Practitioner | 3 St. Francis Drive, Suite 300, Greenville, SC 29601 | 2009-11-11 |
| 1851528418 | Adam Shawn Riffle | Specialist/Technologist | 175 Patewood Drive, Greenville, SC 29601 | 2009-06-22 |
| 1114178332 | Margaret W. Lee | Psychologist | 412 Pettigru St., Suite C, Greenville, SC 29601 | 2008-10-07 |
| Find all providers in zip 29601 | ||||
| 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 | 29601 |
Please comment or provide details below to improve the information on CAROLINA BUSTAMANTE.
| 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.