MS. SUTTON LYNN SHEPHERD (NPI# 1477763209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477763209 |
| Entity Type | Individual |
| Full Name | MS. SUTTON LYNN SHEPHERD |
| Credential | MA |
| Practice Address |
324 E Church St Deland FL 32724-4309 |
| Practice Telephone | 3866794429 |
| Practice Fax Number | 3867364717 |
| Mailing Telephone | 3866794429 |
| Mailing Fax Number | 3867364717 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH 2892 | FL | Behavioral Health & Social Service Providers |
| Street Address |
324 E CHURCH ST |
| City | DELAND |
| State | FL |
| Zip Code | 32724-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437490711 | Ellen Pamela Babanin | Marriage & Family Therapist | 324 E Church St, Deland, FL 32724-4309 | 2013-03-11 |
| 1285955286 | Jesica L Rivette | Counselor | 324 E Church St, Deland, FL 32724-4309 | 2010-06-14 |
| 1649480419 | Diane Theresa Zeidwig | Marriage & Family Therapist | 324 E Church St, Deland, FL 32724-4309 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1811473275 | April Gustafson | Nurse Practitioner | 557 Adenmore Ter, Deland, FL 32724 | 2018-07-18 |
| 1245720820 | Total Renal Laboratories Inc | Clinical Medical Laboratory | 3000 Davita Way, Deland, FL 32724 | 2018-05-18 |
| 1790294742 | Deland Manor Assisted Living Corp | Assisted Living Facility | 245 S. Amelia Ave, Deland, FL 32724 | 2017-09-21 |
| 1639617954 | Starting Point Mental Health, LLC | Counselor | 620 East New York Ave Ste B, Deland, FL 32724 | 2017-02-07 |
| 1255877221 | Emily Eunice | Specialist/Technologist | 2589 W Lake Dr., Deland, FL 32724 | 2017-01-13 |
| 1073960357 | Robert Solomon Jr. | Family Medicine | 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 | 2016-05-17 |
| 1730535568 | Harold Alexander | Hearing Instrument Specialist | 124 S. Amelia Ave, Unit #b, Deland, FL 32724 | 2016-05-11 |
| 1720406747 | Angel Care Homes LLC | Assisted Living Facility | 1349 E. Wisconsin Avenue, Deland, FL 32724 | 2014-04-07 |
| 1508298860 | Lindenlea Assisted Living Inc. | Assisted Living Facility | 1180 Jackson Ranch Rd, Deland, FL 32724 | 2013-08-08 |
| Find all providers in zip 32724 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972127553 | Bridget C Hackett | Counselor | 2355 Roxboro Ct, Deland, FL 32724-3272 | 2020-05-30 |
| 1164057931 | Dominic Watson | Counselor | 604 W University Ave, Deland, FL 32720-3247 | 2020-03-11 |
| 1548895022 | Angela Yates | Counselor | 120 E New York Ave Ste Bc, Deland, FL 32724-5568 | 2020-03-05 |
| 1154969814 | Lisa Rickman | Counselor | 118 N Woodland Blvd # 1, Deland, FL 32720-4217 | 2019-12-12 |
| 1407404213 | Allison Bankston | Counselor | 115 E Howry Ave, Deland, FL 32724-5516 | 2019-08-27 |
| 1548821796 | Christi Kush | Counselor | 114 S Alabama Ave, Deland, FL 32724-5524 | 2019-06-27 |
| 1063980217 | Latisha Y Bordley | Counselor | 119 E Villa Capri Cir Apt F, Deland, FL 32724-7873 | 2018-11-06 |
| 1932689437 | Bright Beginnings Counseling, Pllc | Counselor | 668 Preakness Cir, Deland, FL 32724-8008 | 2018-08-15 |
| 1801307442 | Monica Jeanne Haerter | Counselor | 118 1/2 N Woodland Blvd Ste 1, Deland, FL 32720-4268 | 2017-10-23 |
| 1912439274 | Casa Feliz Counseling LLC | Counselor | 118 1/2 N Woodland Blvd # D, Suite 1, Deland, FL 32720-4268 | 2017-03-28 |
| Find all providers in DELAND | ||||
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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.