FABIENNE BONAVENTURE (NPI# 1538652227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538652227 |
| Entity Type | Individual |
| Full Name | FABIENNE BONAVENTURE |
| Credential | COTA |
| Practice Address |
13014 5th St Bowie MD 20720 |
| Mailing Address |
13014 5th St Bowie MD 20720-3661 |
| Practice Telephone | 3015430960 |
| Mailing Telephone | 3015430960 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
OTA100000305 | DC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| N/A | OTA100000305 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13014 5th St, Bowie, MD 20720 | 3015430960 |
| Street Address |
13014 5TH ST |
| City | BOWIE |
| State | MD |
| Zip Code | 20720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293940 | Open Door Outreach Center | Meals | 13604 Old Annapolis Road, Bowie, MD 20720 | 2020-01-02 |
| 1447714316 | Sandra Williams | Durable Medical Equipment & Medical Supplies | 6413, Gwinnett Lane, Bowie, MD 20720 | 2019-01-24 |
| 1952896458 | Carolyn Simms | Counselor | 10111 Martin Luther King Hwy, Suite 103, Bowie, MD 20720 | 2018-06-27 |
| 1225544356 | Clear Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 12420f Fairwood Parkway, Suite 103, Bowie, MD 20720 | 2017-12-27 |
| 1083132419 | Abibatu Kamara | Behavioral Analyst | 4806 Silverbrook Way, Bowie, MD 20720 | 2017-09-06 |
| 1427576040 | Valor Health, Inc. | Art Therapist | 11310 Sperry Stream Way, Bowie, MD 20720 | 2017-09-04 |
| 1164944682 | Healing and Helping Practice | Psychologist | 14331 Old Stage Rd., Bowie, MD 20720 | 2017-07-17 |
| 1043749468 | Ccc Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4205 Hatties Progress Drive, Bowie, MD 20720 | 2017-06-08 |
| 1265969802 | Harry Thomas Washington Jr. | Counselor | 10111 Martin Luther King Jr. Highway, Suite 200, Bowie, MD 20720 | 2017-05-14 |
| 1801320395 | Hisc Wellness 360 | Case Management | 14001 Tollison Drive, Bowie, MD 20720 | 2017-04-12 |
| Find all providers in zip 20720 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869484 | Autism Community Enterprises, Inc | Counselor | 16604 Peach St, Bowie, MD 20716-3526 | 2020-04-09 |
| 1578101523 | Michelle Durham | Counselor | 12504 Keynote Ln, Bowie, MD 20715-2746 | 2019-12-19 |
| 1275184301 | Harold Raul Dawkins | Counselor | 14632 London Ln, Bowie, MD 20715-2572 | 2019-09-20 |
| 1679128557 | Brian Bailey | Counselor | 15201 Jenkins Ridge Rd, Bowie, MD 20721-7256 | 2019-08-07 |
| 1417413253 | Demitri Kornegay | Counselor | 12805 Vicar Woods Ln, Bowie, MD 20720-4770 | 2019-02-18 |
| 1336622059 | Amy Winiecki | Counselor | 4201 Northview Dr # 104, Bowie, MD 20716-2604 | 2018-09-09 |
| 1396225264 | Patricia Morgan Cooper | Counselor | 2825 Bosworth Ln, Bowie, MD 20715-2402 | 2018-08-20 |
| 1528563376 | Cynthia Hunter | Counselor | 5429 Lakeford Ln, Bowie, MD 20720-4855 | 2018-03-26 |
| 1679075576 | Marcella Louise Debose | Counselor | 15957 Alameda Dr, Bowie, MD 20716-1384 | 2018-03-06 |
| 1215459912 | Gretchen Williams | Counselor | 14300 Gallant Fox Ln Ste 115, Bowie, MD 20715-4031 | 2017-07-13 |
| Find all providers in BOWIE | ||||
Please comment or provide details below to improve the information on FABIENNE BONAVENTURE.
| 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.