MISS ALEXIS GEORGIA CHIRBAN (NPI# 1619494689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619494689 |
| Entity Type | Individual |
| Full Name | MISS ALEXIS GEORGIA CHIRBAN |
| Practice Address |
101 Dudley St Ste 3352 Providence RI 02905-2401 |
| Mailing Address |
70 Hope Ave Waltham MA 02453-2732 |
| Practice Telephone | 4014301925 |
| Mailing Telephone | 9789449421 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 81 Plantation St, Worcester, MA 016043069 | 5088495600 |
| Street Address |
101 DUDLEY ST STE 3352 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750930210 | Marykate Machardy | Counselor | 133 Sutton St Apt 1, Providence, RI 02903-1450 | 2019-09-08 |
| 1457904070 | Lilian Dr Schreiner | Counselor | 481 Pine St # 1, Providence, RI 02907-1347 | 2019-07-23 |
| 1770148736 | Emily Mello | Counselor | 530 N Main St Fl 2, Providence, RI 02904-5762 | 2019-05-06 |
| 1235617101 | Andra Renzi | Counselor | 42 Victor St, Providence, RI 02908-3200 | 2018-08-02 |
| 1952809261 | Rosanne Agostinho Pinto | Counselor | 134 Thurbers Ave Ste 102, Providence, RI 02905-4754 | 2018-02-01 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1275074171 | Jaissen M Jackson | Counselor | 194 Webster Ave, Providence, RI 02909-3818 | 2017-03-13 |
| 1932577509 | Loren Margelefsky | Counselor | 160 Irving Ave, Apt 1c, Providence, RI 02906-5407 | 2015-09-12 |
| 1366824856 | Brittany Bouffard | Counselor | 641 Smith St, Providence, RI 02908-4351 | 2015-06-22 |
| 1356735690 | Byron Peah | Counselor | 40 Leander St Apt 222, Providence, RI 02909-5646 | 2015-03-25 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on MISS ALEXIS GEORGIA CHIRBAN.
| 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.