KAYSHA LITTLE CLARK (NPI# 1508252602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508252602 |
| Entity Type | Individual |
| Full Name | KAYSHA LITTLE CLARK |
| Credential | LPC |
| Practice Address |
27625 Us Highway 98 Daphne AL 36526-4816 |
| Practice Telephone | 2516267959 |
| Practice Fax Number | 2516266122 |
| Mailing Telephone | 2516267959 |
| Mailing Fax Number | 2516266122 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2017-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3003 | AL | Behavioral Health & Social Service Providers |
| Street Address |
27625 US HIGHWAY 98 |
| City | DAPHNE |
| State | AL |
| Zip Code | 36526-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831153303 | John Denton Sherrod | Specialist | 27625 Us Highway 98, Building B, Daphne, AL 36526-4816 | 2006-04-13 |
| 1063065746 | Margaret Mcclain Haag | Social Worker | 27625 Us Highway 98, Daphne, AL 36526-4816 | 2019-07-22 |
| 1134596208 | Cynthia Wulff | Marriage & Family Therapist | 27625 Us Highway 98, Building A, Daphne, AL 36526-4816 | 2015-08-25 |
| 1861763245 | Elizabethann Moore | Psychologist | 27625 Us Highway 98, Building A, Daphne, AL 36526-4816 | 2012-01-18 |
| 1336455492 | Sara Waite Garrett | Marriage & Family Therapist | 27625 Us Highway 98, Daphne, AL 36526-4816 | 2010-08-27 |
| 1053552588 | Lisa Mcmanus | Counselor | 27625 Us Highway 98, Bldg. A, Daphne, AL 36526-4816 | 2009-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173464 | H3o Living, LLC | Clinic/Center | 29000 U.S. 98, Daphne, AL 36526 | 2020-08-05 |
| 1790345403 | Gregory Conner Reese | Student in an Organized Health Care Education/Training Program | 27654 Red Eagle Drive, Daphne, AL 36526 | 2019-06-14 |
| 1649787912 | Jubilee Family Dentistry, LLC | Dentist | 6475 Jordan Avenue, Daphne, AL 36526 | 2018-01-08 |
| 1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
| 1366957011 | Emily Jane Tisdale | Behavioral Analyst | 1203 Us Highway 98 Ste 2a9, Daphne, AL 36526 | 2017-12-04 |
| 1437680600 | Blair Hoffman Pringle | Nurse Practitioner | 26179 Capitol Drive Suite A, Daphne, AL 36526 | 2017-03-21 |
| 1275915324 | Simara Sokom | Pharmacist | 29487 State Highway 181, Daphne, AL 36526 | 2015-06-25 |
| 1366859126 | Seth Matthew Gross | Pharmacist | 101b Villa Drive, Suite B-260, Daphne, AL 36526 | 2014-07-14 |
| 1841627940 | Michelle Renae Counts | Counselor | 9086 Merritt Road Suite C, Williamsburg Plaza, Daphne, AL 36526 | 2013-10-03 |
| 1194066613 | Ryan Nobles | Chiropractor | 6483 Van Buren Street, Suite 101, Daphne, AL 36526 | 2013-03-07 |
| Find all providers in zip 36526 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104302579 | Lisa P. Mcmanus, Ms, Lpc | Counselor | 25369 Us Highway 98 Ste C, Daphne, AL 36526-4864 | 2018-07-18 |
| 1982190740 | Life Anchors Child & Adolescent Counseling LLC | Counselor | 711 Belrose Ave, Daphne, AL 36526-4514 | 2018-07-05 |
| 1003307646 | Encounter Counseling Center, LLC | Counselor | 9086 Merritt Ln Ste C, Daphne, AL 36526-5610 | 2018-05-18 |
| 1952786121 | Susan Galberry | Counselor | 1290 Main St Ste C, Daphne, AL 36526-8624 | 2015-07-29 |
| 1841627940 | Michelle Renae Counts | Counselor | 9086 Merritt Road Suite C, Williamsburg Plaza, Daphne, AL 36526 | 2013-10-03 |
| 1811248941 | Leah Patrick | Counselor | 7400 Roper Lane, Daphne, AL 36526 | 2012-09-28 |
| 1225363161 | Lacey Moore Broadus | Counselor | 6642 Park Dr Ste B, Daphne, AL 36526-5228 | 2009-10-09 |
| 1669629564 | Emma Rosemary Greene | Counselor | 151 Brentwood Dr, Daphne, AL 36526-7547 | 2008-08-21 |
| 1255587036 | Joan Catherine Whitt | Counselor | 827 Dauphine Cir, Daphne, AL 36526-4333 | 2008-08-13 |
| 1174713838 | Julia Hinds Taylor | Counselor | 1290 Main St Ste E, Daphne, AL 36526-8624 | 2007-07-30 |
| Find all providers in DAPHNE | ||||
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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.