MS. AL-QUIYAMAH GHAFUR FAIZ (NPI# 1528531076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528531076 |
Entity Type | Individual |
Full Name | MS. AL-QUIYAMAH GHAFUR FAIZ |
Credential | BA |
Practice Address |
1606 Sawgrass Dr Sw Palm Bay FL 32908-1126 |
Practice Telephone | 4048195802 |
Practice Fax Number | 3213272483 |
Mailing Telephone | 4048195802 |
Mailing Fax Number | 3213272483 |
Enumeration Date | 2019-01-08 |
Last Update Date | 2019-01-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
Street Address |
1606 SAWGRASS DR SW |
City | PALM BAY |
State | FL |
Zip Code | 32908-1126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043663537 | Milena Tellechea Casanueva | Registered Nurse | 761 Santo Domingo Ave Sw, Palm Bay, FL 32908 | 2016-07-19 |
1023351996 | Zion's Assisted Living Facility, Inc. | Assisted Living Facility | 2029 Jupiter Blvd Sw, Palm Bay, FL 32908 | 2013-03-29 |
1710267364 | Laurie Kay Bailey | Massage Therapist | 3098 Cambria Avenue, Palm Bay, FL 32908 | 2011-08-26 |
1689797946 | Fritz Delmont | Licensed Practical Nurse | 3056 Ferdon Ave, Palm Bay, FL 32908 | 2007-04-09 |
1801340732 | Trinity Non Emergency Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1590 La Maderia Dr Sw, Palm Bay, FL 32908-1100 | 2016-08-09 |
1326354606 | Merlyn Labrador | Marriage & Family Therapist | 1500 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 | 2010-08-25 |
1245544303 | Matthew M Fisher | Massage Therapist | 1570 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 | 2010-07-31 |
1780999284 | Colleen M Fisher | Massage Therapist | 1570 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 | 2010-08-10 |
1922271220 | Marrilyn K Tennyson | Occupational Therapist | 1700 Las Palmos Dr Sw, Palm Bay, FL 32908-1122 | 2008-04-08 |
1922028182 | Aaron Thomas Parr | Specialist/Technologist | 1901 Degroodt Rd Sw, Palm Bay, FL 32908-1206 | 2006-07-20 |
Find all providers in zip 32908 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942799176 | Kailey Earle | Counselor | 1412 Talavera St Se, Palm Bay, FL 32909-5411 | 2018-05-03 |
1356839526 | Behavioral Educational Services, Inc. | Counselor | 1975 Palm Bay Rd Ne Ste 104, Palm Bay, FL 32905-2972 | 2018-04-24 |
1265946461 | Shayla Abbigail Felicien | Counselor | 154 San Filippo Dr Se, Palm Bay, FL 32909-5113 | 2017-11-27 |
1497201404 | Graciela Lodeiro | Counselor | 6400 Woodlake Dr Ne Apt 202, Palm Bay, FL 32905-6175 | 2016-08-30 |
1073969192 | Paul Halpern | Counselor | 330 Del Rey St Ne, Palm Bay, FL 32907-3055 | 2016-05-07 |
1649674441 | Andria Edries Wilson Thompson | Counselor | 1810 Bashaw St Nw, Palm Bay, FL 32907-9446 | 2014-10-22 |
1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
1922371541 | Donita Jean Main | Counselor | 3091 Indian River Dr Ne, Palm Bay, FL 32905-4359 | 2012-02-13 |
1750681573 | Isabel Dopson | Counselor | 217 Brandy Creek Cir Se, Palm Bay, FL 32909-2333 | 2010-10-26 |
1366483067 | Rahila Amjad Bashir | Counselor | 4650 Lipscomb St Ne Ste 10, Palm Bay, FL 32905-2997 | 2006-06-10 |
Find all providers in PALM BAY |
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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.