MRS. ELLEN DOUGLAS


Address: 901 Paverstone Dr, Raleigh, NC 27615-4710
Phone: 9198184284

MRS. ELLEN DOUGLAS (NPI# 1558612036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558612036
Entity Type Individual
Full Name MRS. ELLEN DOUGLAS
Credential LPC
Practice Address 901 Paverstone Dr
Raleigh
NC 27615-4710
Mailing Address 706 Monroe Dr
Raleigh
NC 27604-2357
Practice Telephone 9198184284
Mailing Telephone 7048307020
Enumeration Date 2012-09-25
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
8577 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC P99260 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
705 E Lane St, Raleigh, NC 276011147 7048307020

Other Providers ELLEN DOUGLAS

NPI Name Taxonomy Address Enumeration
1548381684 Ellen Kay Douglas Psychologist 785 E Broad St, Columbus, OH 43205-1013 2007-04-03

Office Location

Street Address 901 PAVERSTONE DR
City RALEIGH
State NC
Zip Code 27615-4710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336139302 Beverly June Hicks Counselor 901 Paverstone Dr, Raleigh, NC 27615-4710 2005-10-21
1669007860 Kara Burke King Social Worker 901 Paverstone Dr, Raleigh, NC 27615-4710 2020-03-08
1487113353 Clark Slagle Psychologist 901 Paverstone Dr, Raleigh, NC 27615-4710 2019-03-19
1538670104 Laura Greene, Psy.d., Pllc Psychologist 901 Paverstone Dr, Raleigh, NC 27615-4710 2017-10-23
1750804290 Molly Martucci Social Worker 901 Paverstone Dr, Raleigh, NC 27615-4710 2017-07-17
1902278864 Hope Guy Panara Psychologist 901 Paverstone Dr, Suite 10, Raleigh, NC 27615-4710 2015-10-30
1215218078 Anthony Andrew Delmedico Marriage & Family Therapist 901 Paverstone Dr, Suite 9, Raleigh, NC 27615-4710 2011-09-07
1457453581 Philip A Lisk, Dds, Pa Dentist 901 Paverstone Dr, A, Raleigh, NC 27615-4710 2006-09-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588278535 Emily Grace Johnson Behavior Technician 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 2020-09-06
1730706110 Maja V Martin, Dds, Pa1 Clinic/Center 7371 Six Forks Road, Raleigh, NC 27615 2020-07-01
1972146967 Atlantic Avenue Pharmaceutical, Inc Pharmacy 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 2019-10-22
1023503950 Siyara Shannay Dobbs Social Worker 7013 Woodbend Dr Apt H, Raleigh, NC 27615 2018-06-23
1194210153 Brittanie Ja'nell Harris Dentist 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 2018-06-22
1710489448 Sherise Swensen Social Worker 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 2018-03-08
1881100345 Casey Paul Baine Counselor 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 2017-12-20
1588177885 Michael Lacidonia Acupuncturist 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 2017-11-08
1457877631 Matt Henderson Behavioral Analyst 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 2017-08-18
1760907646 Shakeda Muldrow Social Worker 7323 Brookbank Lane, Raleigh, NC 27615 2017-08-11
Find all providers in zip 27615

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043811243 Ally Health Services LLC Counselor 3811 Tarheel Dr Ste 106, Raleigh, NC 27609-7548 2020-11-04
1669070561 Yazmeen Nilaja Irving Counselor 1654 Brownairs Ln, Raleigh, NC 27610-3490 2020-10-13
1194323980 James P Perkins Jr. Counselor 4205 Wake Forest Rd Ste 101, Raleigh, NC 27609-6246 2020-10-13
1598362154 Polaris Psychological Health Counseling and Consulting Services Pllc Counselor 181 Wind Chime Ct Ste 201, Raleigh, NC 27615-6573 2020-10-07
1740897099 Nola Metz Allan Counselor 537 Rand Rd, Raleigh, NC 27603-8715 2020-09-29
1346856291 Julie Freeman Counselor 2108 Langdon Rd, Raleigh, NC 27604-3616 2020-09-16
1104438738 Rebekah Lynn Musselwhite Counselor 8512 Six Forks Rd Ste 1010, Raleigh, NC 27615-3255 2020-08-17
1487263026 Better Health Counseling & Wellness, Pllc Counselor 5245 Pinehall Wynd, Raleigh, NC 27604-5827 2020-07-29
1174132021 Kimberley Irene Gada-steinauer Counselor 4913 Professional Ct Ste 207, Raleigh, NC 27609-1926 2020-07-27
1780202085 Tessa Blair Nayowith Counselor 6512 Six Forks Rd Ste 403b, Raleigh, NC 27615-6526 2020-07-13
Find all providers in RALEIGH

Competitor

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City RALEIGH
Zip Code 27615

Improve Information

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Dataset Information

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.

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