ALFREDA SMALL (NPI# 1548638471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548638471 |
| Entity Type | Individual |
| Full Name | ALFREDA SMALL |
| Practice Address |
164 Waccamaw Medical Park Conway SC 29526-8903 |
| Practice Telephone | 8433474888 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
164 WACCAMAW MEDICAL PARK |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972795458 | Jessica E Goodwin | Counselor | 164 Waccamaw Medical Park, Conway, SC 29526-8903 | 2007-08-17 |
| 1912429333 | Lavenia Jones | Registered Nurse | 164 Waccamaw Medical Park, Conway, SC 29526-8903 | 2017-07-07 |
| 1598003642 | Shirleen P Growley | Registered Nurse | 164 Waccamaw Medical Park, Conway, SC 29526-8903 | 2013-01-24 |
| 1063609840 | Jessica Hardee | Counselor | 164 Waccamaw Medical Park, Conway, SC 29526-8903 | 2007-09-26 |
| 1518153428 | Jessica G Johnson | Counselor | 164 Waccamaw Medical Park, Conway, SC 29526-8903 | 2007-09-25 |
| 1215123120 | Vanessa Gamble | Counselor | 164 Waccamaw Medical Park, Conway, SC 29526-8903 | 2007-09-25 |
| 1326230806 | Ut Uyen N Vanhoogen | Counselor | 164 Waccamaw Medical Park, Conway, SC 29526-8903 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471509 | Access Counseling & Assessment Services, LLC | Counselor | 505 Amity Rd Ste 604, Conway, AR 72032-5993 | 2020-09-15 |
| 1639795511 | Mindy Lynne Durey | Counselor | 7 Medical Ln Ste H, Conway, AR 72034-4918 | 2020-06-17 |
| 1285261131 | Mary Hutson | Counselor | 766 Harkrider St, Conway, AR 72032-4401 | 2020-03-23 |
| 1679045314 | Dawnavese Sadler | Counselor | 1227 16th Ave # 179, Conway, SC 29526-3483 | 2018-12-19 |
| 1942742259 | Patricia Bradley | Counselor | 2501 Dave Ward Dr, Suite A5, Conway, AR 72034-6091 | 2016-11-17 |
| 1043661135 | Kevin Nathaniel Phelps Spurgers | Counselor | 740 S Salem Rd Ste 106, Conway, AR 72034-5520 | 2016-06-29 |
| 1316322324 | Susanna Lorraine Aich | Counselor | 915 Oak St Ste 103, Conway, AR 72032-4389 | 2015-07-21 |
| 1922498807 | Alex Schluterman | Counselor | 1622 Donaghey Ave, Conway, AR 72034-3221 | 2015-01-29 |
| 1639587470 | Johari Family Services, LLC | Counselor | 800 Legion St, Suite 100-c, Conway, SC 29526-4825 | 2014-07-24 |
| 1407190200 | Melissa Lynn Lewis | Counselor | 1765 Arden Ln, Conway, AR 72034-3550 | 2012-11-16 |
| Find all providers in CONWAY | ||||
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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.