MRS. DENISE N CLUBBS (NPI# 1447314018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447314018 |
| Entity Type | Individual |
| Full Name | MRS. DENISE N CLUBBS |
| Credential | LMHC, LMFT |
| Practice Address |
1103 Fortune Ave Panama City FL 32401-1831 |
| Practice Telephone | 8507696188 |
| Practice Fax Number | 8507691261 |
| Mailing Telephone | 8507696188 |
| Mailing Fax Number | 8507691261 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
MH1440 | FL | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | MT1196 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | Z4467 | 01 |
| Street Address |
1103 FORTUNE AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346304177 | Forrest Stewart Yanke | Social Worker | 1103 Fortune Ave, Panama City, FL 32401-1831 | 2006-12-19 |
| 1770862898 | Kristina Noble Berry | Counselor | 1103 Fortune Ave, Panama City, FL 32401-1831 | 2011-08-07 |
| 1356645402 | Miriam S. Bozarth | Psychologist | 1103 Fortune Ave, Panama City, FL 32401-1831 | 2011-01-04 |
| 1023339579 | Suzette Smith Lcsw Inc | Social Worker | 1103 Fortune Ave, Panama City, FL 32401-1831 | 2010-06-18 |
| 1750429973 | Catherine Marie Myers | Counselor | 1103 Fortune Ave, Panama City, FL 32401-1831 | 2007-02-01 |
| 1699839241 | Lyman George Rigby | Counselor | 1103 Fortune Ave, Panama City, FL 32401-1831 | 2006-12-20 |
| 1194889790 | Carol S Mirus | Marriage & Family Therapist | 1103 Fortune Ave, Panama City, FL 32401-1831 | 2006-12-20 |
| 1508929324 | Sean Edward Stevens | Psychologist | 1103 Fortune Ave, Panama City, FL 32401-1831 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
| 1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
| 1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
| 1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
| Find all providers in zip 32401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049670 | Melissa Anne Chambers | Counselor | 525 E 15th St Bldg A, Panama City, FL 32405-5400 | 2020-09-29 |
| 1265044184 | Coleen Lynnette Hernandez | Counselor | 747 Jenks Ave, Panama City, FL 32401-2582 | 2020-08-21 |
| 1760015408 | Resurgence Counseling LLC | Counselor | 2686 Chapman Dr, Panama City, FL 32405-4914 | 2020-02-21 |
| 1851922835 | Angela Jean Stovall | Counselor | 3219 Ashmore St, Panama City, FL 32404-6285 | 2020-01-29 |
| 1316405822 | Robin Keys | Counselor | 2617 Redtail St, Panama City, FL 32405-6681 | 2019-03-05 |
| 1225596786 | Meleah Beth Lister Smith | Counselor | 625 Jenks Ave, Panama City, FL 32401-2629 | 2019-03-04 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1144671199 | Bruce Alan Griffin | Counselor | 5509 Merritt Brown Rd, Panama City, FL 32404-3008 | 2016-06-30 |
| 1861848640 | Renew Hypnosis and Counseling | Counselor | 1137 Harrison Ave Ste 10, Panama City, FL 32401-2468 | 2016-05-11 |
| 1942666508 | Andrea Mccrary | Counselor | 203a Forest Park Cir, Panama City, FL 32405-4916 | 2016-01-12 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
Please comment or provide details below to improve the information on MRS. DENISE N CLUBBS.
| 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.