MR. GEORGE HENRY ELLIOTT (NPI# 1609886076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609886076 |
| Entity Type | Individual |
| Full Name | MR. GEORGE HENRY ELLIOTT |
| Credential | LPC |
| Practice Address |
132 W Elwood Ave Raeford NC 28376-2802 |
| Mailing Address |
9530 Mountain Home Dr Fayetteville NC 28314-5761 |
| Practice Telephone | 9108750070 |
| Practice Fax Number | 9108750072 |
| Mailing Telephone | 9108266795 |
| Mailing Fax Number | 9108750072 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4122 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUECROSS BLUESHIELD LPC | 140P9 | 01 |
| NC | 6102023 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235262148 | George G Elliott | Counselor | 104 Reynolds Rd, Glasgow, KY 42141-1177 | 2007-03-13 |
| 1417089301 | George Oliver Elliott IIi | Speech-Language Pathologist | 2917 Highway 171, Hornbeck, LA 71439-1420 | 2007-03-09 |
| 1558397638 | George Michael Elliott | Emergency Medicine | 300 E Warwick Dr, Alma, MI 48801 | 2006-06-23 |
| Street Address |
132 W ELWOOD AVE |
| City | RAEFORD |
| State | NC |
| Zip Code | 28376-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699219337 | Creative Speech & Specialized Therapies | Speech-Language Pathologist | 132 W Elwood Ave, Raeford, NC 28376-2802 | 2016-12-15 |
| 1285855379 | Christine L. Elliott | Counselor | 132 W Elwood Ave, Raeford, NC 28376-2802 | 2007-05-02 |
| 1295855690 | Alpha Counseling & Dwi Services | Clinic/Center | 132 W Elwood Ave, Raeford, NC 28376-2802 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185104 | Elite Supply Services, Inc. | Durable Medical Equipment & Medical Supplies | 2148 Bus-us 401, Raeford, NC 28376 | 2020-05-18 |
| 1205485695 | Brenda P Gregorio | Technician | 297 Gregorios Ln, Raeford, NC 28376 | 2019-09-09 |
| 1083197115 | Jennifer Picerno Bowyer | Nurse Practitioner | 929 Prospect Ave., Raeford, NC 28376 | 2018-09-14 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1508398991 | Rockfish Pharmacy Inc | Pharmacy | 221 Flagstone Lane, Raeford, NC 28376 | 2017-04-03 |
| 1205281235 | William Fiebig | Nurse Practitioner | Hoke Hospital, 210 Medical Pavilion Drive, Raeford, NC 28376 | 2016-04-27 |
| 1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
| 1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
| 1649658287 | Divine Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 320 Birch St, Raeford, NC 28376 | 2015-05-15 |
| 1992192298 | David Abdulhaqq | Counselor | 225 Aggies Lane, Raeford, NC 28376 | 2015-04-24 |
| Find all providers in zip 28376 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407335136 | Across Milestones Support Services, LLC | Counselor | 512 Harris Ave, Raeford, NC 28376-3114 | 2018-08-13 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1174983829 | Eva Jones | Counselor | 2295 N Horace Walters Rd, Raeford, NC 28376-7587 | 2016-02-23 |
| 1851596605 | Jewel Vanessa Mcneill | Counselor | 403 E Central Ave, Raeford, NC 28376-2911 | 2007-06-20 |
| 1588876379 | Premier Healthcare Services Inc | Counselor | 1892 Turnpike Rd, Raeford, NC 28376 | 2007-05-04 |
| 1316010234 | Edward Eugene Bessant | Counselor | 4989 Rockfish Rd, Raeford, NC 28376-8355 | 2006-11-16 |
| 1114538345 | Clear Cut Counseling LLC | Counselor | 284 Northwoods Dr, Raeford, NC 28376-7986 | 2020-08-11 |
| 1760014211 | Elizabeth Ann Watson | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2020-02-12 |
| 1386299006 | Joy Journey Professional Counseling & Life Coach,pllc | Counselor | 2295 N Horace Walters Rd, Raeford, NC 28376-7587 | 2019-08-08 |
| 1861994196 | Brittany Kay Bridges | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2018-03-02 |
| Find all providers in RAEFORD | ||||
Please comment or provide details below to improve the information on MR. GEORGE HENRY ELLIOTT.
| 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.