MRS. LORA RENEE DOUGLAS (NPI# 1548820095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548820095 |
| Entity Type | Individual |
| Full Name | MRS. LORA RENEE DOUGLAS |
| Credential | RADT |
| Practice Address |
37437 Glenmoor Dr Fremont CA 94536-5731 |
| Mailing Address |
4510 Peralta Blvd Ste 1 Fremont CA 94536-5755 |
| Practice Telephone | 5107133200 |
| Practice Fax Number | 5107130684 |
| Mailing Telephone | 5107133202 |
| Mailing Fax Number | 5107130684 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1332031218 | CA | Behavioral Health & Social Service Providers |
| Street Address |
37437 GLENMOOR DR |
| City | FREMONT |
| State | CA |
| Zip Code | 94536-5731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780872127 | Carneles Unidos Reformando Adictos Incorporate | Substance Abuse Rehabilitation Facility | 37437 Glenmoor Dr, Fremont, CA 94536-5731 | 2007-10-11 |
| 1194363424 | Manessa Boyko | Counselor | 37437 Glenmoor Dr, Fremont, CA 94536-5731 | 2019-12-17 |
| 1851935068 | Jeryl Lindhurst | Counselor | 37437 Glenmoor Dr, Fremont, CA 94536-5731 | 2019-10-30 |
| 1588208789 | Claudia Solorio | Counselor | 37437 Glenmoor Dr, Fremont, CA 94536-5731 | 2019-10-30 |
| 1497399604 | James Bounds | Counselor | 37437 Glenmoor Dr, Fremont, CA 94536-5731 | 2019-10-30 |
| 1215597760 | Lonnie Brewer | Counselor | 37437 Glenmoor Dr, Fremont, CA 94536-5731 | 2019-06-17 |
| 1699335158 | Tamara De Santo | Counselor | 37437 Glenmoor Dr, Fremont, CA 94536-5731 | 2019-06-17 |
| 1235799792 | Jack Scott | Counselor | 37437 Glenmoor Dr, Fremont, CA 94536-5731 | 2019-06-17 |
| 1407317704 | Raymond Edward Douglas | Counselor | 37437 Glenmoor Dr, Fremont, CA 94536-5731 | 2019-03-28 |
| 1477924918 | Carnales Unidos Reformando Adictos | Substance Abuse Rehabilitation Facility | 37437 Glenmoor Dr, Fremont, CA 94536-5731 | 2015-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342036 | Aria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 37179 Fremont Blvd, Fremont, CA 94536 | 2020-10-06 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| 1972958247 | Priyanka Gwalani | Internal Medicine | 656 Mowry Ave., Fremont, CA 94536 | 2016-04-25 |
| 1700258522 | Mats Hellsten | Marriage & Family Therapist | 38950 Blacow Road, Suite D, Fremont, CA 94536 | 2015-10-21 |
| 1255727293 | Nicholas Andrew Phillips | Family Medicine | 556 Mowry Ave Ste 200, Fremont, CA 94536 | 2015-04-07 |
| 1356735120 | Anthony Chukwunonso Okereke | Pharmacist | 35829 Cabrillo Drive, Fremont, CA 94536 | 2015-03-19 |
| 1992118590 | Aaron Jake Bera | Chiropractor | 35666 Gleason Ln, Fremon, CA 94536 | 2014-06-11 |
| 1467898809 | Vijayalakshmi Natarajan | Health Educator | 4941 Roselle Cmn, Fremont, CA 94536 | 2013-05-13 |
| 1184968919 | Linda Kim | Behavioral Analyst | 3750 Tamayo St Apt 93, Fremont, CA 94536 | 2012-11-16 |
| 1346518487 | Arsen Rhoel Donesa | Dentist | 37149 Fremont Boulevard, Fremont, CA 94536 | 2011-12-04 |
| Find all providers in zip 94536 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1013416320 | Tammy Jo Broshious | Counselor | 512 E State St, Fremont, OH 43420-4259 | 2018-02-02 |
| 1770952475 | Yvette Augustine | Counselor | 4075 Tamayo St, Fremont, CA 94536-4625 | 2015-09-23 |
| 1518363548 | Lindsay Brundege | Counselor | 1420 E Military Ave, Fremont, NE 68025-5300 | 2014-11-19 |
| 1003186818 | Edgar T. Young | Counselor | 4219 Tiburon Dr, Fremont, CA 94555-3261 | 2012-01-10 |
| 1083905988 | Awareness Counseling | Counselor | 2170 N Platte Ave, Fremont, NE 68025-2630 | 2011-04-26 |
| 1932420643 | P & P Fabrication | Counselor | 92 W 5th St, Ste B, Fremont, NE 68025 | 2010-06-16 |
| 1295968717 | Nichole Bonnie Gregory | Counselor | 2170 North Platte Street, Awareness Counseling, Fremont, NE 68025-2630 | 2009-09-01 |
| 1023273521 | Sarah Magdalene Cady | Counselor | 513 N D St, Fremont, NE 68025-5051 | 2008-07-23 |
| 1457532921 | Paul Francisco | Counselor | 41299 Paseo Padre Pkwy, Apt. # 12, Fremont, CA 94539-4551 | 2007-11-26 |
| Find all providers in FREMONT | ||||
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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.