MISS SHANNON DERVAY (NPI# 1518254416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518254416 |
| Entity Type | Individual |
| Full Name | MISS SHANNON DERVAY |
| Credential | LPC, NCC, CACI |
| Practice Address |
130 Hudson St Chester SC 29706-1524 |
| Mailing Address |
444 Scarlett Ln Fort Mill SC 29715-8213 |
| Practice Telephone | 8033778111 |
| Practice Fax Number | 8035815380 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1105055 | SC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
56127 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
8163 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
5145 | SC | Behavioral Health & Social Service Providers |
| Street Address |
130 HUDSON ST |
| City | CHESTER |
| State | SC |
| Zip Code | 29706-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329308 | Chester County Commision On Alcohol and Drug Abuse | Counselor | 130 Hudson St, Chester, SC 29706-1524 | 2005-07-12 |
| 1588272777 | Napoleon Gregory | Peer Specialist | 130 Hudson St, Chester, SC 29706-1524 | 2020-07-14 |
| 1194342261 | Laura Lea Robbins | Counselor | 130 Hudson St, Chester, SC 29706-1524 | 2020-07-06 |
| 1194287656 | Ohio Valley Physicians Inc | Family Medicine | 130 Hudson St, Chester, SC 29706-1524 | 2019-04-03 |
| 1629507322 | Felicia S Taylor | Counselor | 130 Hudson St, Chester, SC 29706-1524 | 2017-06-06 |
| 1831525138 | Chester County Commission On Alcohol and Drug Abuse | Community/Behavioral Health | 130 Hudson St, Chester, SC 29706-1524 | 2013-09-18 |
| 1679814388 | Kristin Marie Gibson | Counselor | 130 Hudson St, Chester, SC 29706 | 2013-03-05 |
| 1396033122 | Bonnie Lou Shannon | Counselor | 130 Hudson St, Chester, SC 29706-1524 | 2011-07-13 |
| 1821385717 | Lisa Jean Monteith | Counselor | 130 Hudson St, Chester, SC 29706-1524 | 2011-06-30 |
| 1386931285 | Maria Teresa Bates | Counselor | 130 Hudson St, Chester, SC 29706-1524 | 2011-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719889 | Jump Start Bridging Gaps LLC | Counselor | 512 Columbia St, Chester, SC 29706 | 2020-04-20 |
| 1992215560 | Community Medicine Foundation Inc | Clinic/Center | 524 Doctors Court, Catawba Community Mental Health Center, Chester, SC 29706 | 2017-10-09 |
| 1598285314 | National Scholars Academy | Community/Behavioral Health | 2183 Dawson Drive, Chester, SC 29706 | 2017-06-22 |
| 1265899371 | Resourceful Health Care | Counselor | 1645 J A Cochrane By Pass, Chester, SC 29706 | 2016-01-20 |
| 1871829861 | Goldencare, Inc | Clinic/Center | 1197 Armory Road, Chester, SC 29706 | 2009-10-26 |
| 1922158583 | Bhm of Chester LLC | Assisted Living Facility | 570 Center Street, Chester, SC 29706 | 2007-01-12 |
| 1588777395 | Chester Hma Physician Management | Family Medicine | 517 Doctors Court, Chester, SC 29706 | 2006-08-16 |
| 1710942784 | Phillip Brian Jacobs | Optometrist | 136 Church Street, Chester, SC 29706 | 2006-04-20 |
| 1528063450 | Laudan A. Adkinson | Dentist | 726 Wilson St, Chester, SC 29706 | 2005-06-16 |
| 1891923025 | Eyad Nazer | Internal Medicine | 1 Medical Park Dr, Chester, SC 29706 | 2009-06-25 |
| Find all providers in zip 29706 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252528 | Kia Simpkins | Counselor | 11923 Centre St Ste A, Chester, VA 23831-1702 | 2020-07-13 |
| 1669099941 | New Perspectives Counseling, LLC | Counselor | 1 Mill Ridge Ln Ste 205, Chester, NJ 07930-2490 | 2020-07-02 |
| 1104388412 | Reflective Outpatient Therapy LLC | Counselor | 3500 Rossington Blvd, Chester, VA 23831-7157 | 2019-04-04 |
| 1033680533 | Ana C Patino | Counselor | 503 Knollcrest Ln, Chester, NY 10918-1582 | 2018-12-09 |
| 1336625557 | Anthony Hines | Counselor | 4006 Lazy Stream Ct, Chester, VA 23831-6933 | 2018-07-11 |
| 1366943896 | Ann Sodat Hanford | Counselor | 4800 W Hundred Rd, Chester, VA 23831-1746 | 2018-02-21 |
| 1013450741 | Shameka L Clark-savage | Counselor | 3931 Hamlin Creek Ct, Chester, VA 23831-1486 | 2016-11-29 |
| 1538559448 | Joan Dubose | Counselor | 622 Dubose Dr, Chester, SC 29706-8400 | 2015-01-30 |
| 1710243738 | Regina Marie Walsh | Counselor | 15 North Main Street, Chester, CT 06412-0641 | 2012-04-03 |
| 1871740639 | Tamara Fanae'-nicholson Ferebee | Counselor | 10800 Tuscola Dr, Chester, VA 23831-1306 | 2008-08-24 |
| Find all providers in CHESTER | ||||
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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.