MERCY CREEK COUNSELING SERVICES, LLC (NPI# 1588215545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588215545 |
| Entity Type | Organization |
| Organization Name | MERCY CREEK COUNSELING SERVICES, LLC |
| Practice Address |
545 W Main St Dothan AL 36301-1654 |
| Mailing Address |
1697 Broad St Kinsey AL 36303-8524 |
| Practice Telephone | 3347141733 |
| Mailing Telephone | 3347141733 |
| Enumeration Date | 2019-09-21 |
| Last Update Date | 2019-09-21 |
| Authorized Official Name | ROBERT GRICE (DIRECTOR) |
| Authorized Official Telephone | 3347141733 |
| Authorized Official Credential | PHD, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
545 W MAIN ST |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336107572 | Tri-state Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 545 W Main St, Suite 305, Dothan, AL 36301-1654 | 2006-05-03 |
| 1689944324 | Whitehurst Companion Care Associates | In Home Supportive Care | 545 W Main St, Suite 100 -105, Dothan, AL 36301-1654 | 2012-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174159883 | John Nathaniel Mcanulty | Counselor | 100 Woodcreek Dr, Dothan, AL 36301-6204 | 2020-03-14 |
| 1942845573 | Jaleesa Mcmillan | Counselor | 2330 Montgomery Hwy, Dothan, AL 36303-3250 | 2019-11-07 |
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1083261325 | Krista Stephenson Smith | Counselor | 256 Honeysuckle Rd Ste 14, Dothan, AL 36305-1168 | 2019-08-21 |
| 1417502238 | Genesis Counseling Services, LLC | Counselor | 2246 Montgomery Hwy Ste 1, Dothan, AL 36303-3270 | 2019-08-08 |
| 1891353702 | Dothan Professional Counseling Services | Counselor | 310 Sprucepine Rd, Dothan, AL 36301-7268 | 2019-06-05 |
| 1366905648 | Kelley Marie Kearns | Counselor | 188 N Foster St Ste 101, Dothan, AL 36303-4568 | 2019-04-12 |
| 1750874160 | Jennifer Elisabeth Compton | Counselor | 2135 Denton Rd Ste 2, Dothan, AL 36303-2384 | 2018-06-11 |
| 1487161279 | Jeremiah Dalton | Counselor | 706 N Cherokee Ave, Dothan, AL 36303-3113 | 2018-01-03 |
| 1578084885 | Lisa Turner Rambo | Counselor | 3341 S Oates St Ste 118, Dothan, AL 36301-5889 | 2017-06-28 |
| Find all providers in DOTHAN | ||||
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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.