ANITA CHARLENE HALL APRN-BC LLC (NPI# 1467950675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467950675 |
Entity Type | Organization |
Organization Name | ANITA CHARLENE HALL APRN-BC LLC |
Practice Address |
8990 Lorraine Rd Gulfport MS 39503-4176 |
Practice Telephone | 2283313310 |
Practice Fax Number | 2282841608 |
Mailing Telephone | 2283313310 |
Mailing Fax Number | 2282841608 |
Enumeration Date | 2018-01-23 |
Last Update Date | 2018-01-23 |
Authorized Official Name | ANITA CHARLENE HALL (OWNER) |
Authorized Official Telephone | 2283313310 |
Authorized Official Credential | APRN-BC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
702439 | MS | Ambulatory Health Care Facilities |
Street Address |
8990 LORRAINE RD |
City | GULFPORT |
State | MS |
Zip Code | 39503-4176 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801876545 | Jay Michael Stone | Psychologist | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2006-01-19 |
1437784550 | Chantal Sullivan Aprn-bc Pllc | Nurse Practitioner | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2020-03-09 |
1740811280 | Chantal Sullivan | Nurse Practitioner | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2020-02-03 |
1376010934 | Pamela Giveans Np Pllc | Clinic/Center | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2018-10-31 |
1629582671 | Sjturner Pllc | Clinic/Center | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2017-11-29 |
1376057026 | Alexa Morales Lcsw LLC | Social Worker | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2017-11-16 |
1750802534 | Phyllis L Dickerson Lcsw | Social Worker | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2017-06-30 |
1720539315 | Donna Burrowes, Pllc | Psychologist | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2016-10-18 |
1568814812 | River Psychology Pllc | Psychologist | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2016-07-11 |
1639523277 | Dr Bryan Vyverberg Md, Pllc | Psychiatry & Neurology | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2016-04-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1548894488 | Day To Day Counseling and Consulting | Clinic/Center | 1389 Cliff Gookin Blvd Ste D, Tupelo, MS 38801-6458 | 2020-03-01 |
1174157689 | Sound Mind Psychiatry Pllc | Clinic/Center | 105 W Hamilton St, Houston, MS 38851-2209 | 2020-02-24 |
1427693944 | Green Spot Wellbeing LLC | Clinic/Center | 100 Front Ave, Indianola, MS 38751-2461 | 2019-11-07 |
1164071981 | Community Care Group LLC | Clinic/Center | 54 E Franklin St, Natchez, MS 39120-3665 | 2019-09-04 |
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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.