ALICIA BACK (NPI# 1629518584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629518584 |
| Entity Type | Individual |
| Full Name | ALICIA BACK |
| Credential | LPCC |
| Practice Address |
1239 Central Ave Middletown OH 45044-4103 |
| Practice Telephone | 5137371247 |
| Practice Fax Number | 5137371239 |
| Mailing Telephone | 5137371247 |
| Mailing Fax Number | 5137371239 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E. 1200715 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1239 CENTRAL AVE |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45044-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679903215 | Rachel Mcewen | Counselor | 1239 Central Ave, Middletown, OH 45044-4103 | 2013-11-18 |
| 1578078432 | Tracy Marcel Mack | Case Manager/Care Coordinator | 1239 Central Ave, Middletown, OH 45044-4103 | 2017-12-13 |
| 1730615683 | Robert Riddle | Social Worker | 1239 Central Ave, Middletown, OH 45044-4103 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091250 | Pamela Little Little-hayes | Occupational Therapist | 1516 First Ave, Middletown, OH 45044 | 2018-11-07 |
| 1568955136 | King's Pharmacy | Pharmacy | 7043 Yankee Rd, Liberty Township, OH 45044 | 2018-06-08 |
| 1669964227 | Ashley Loren Witt | Counselor | 2005 Central Avenue, Middletown, OH 45044 | 2018-05-30 |
| 1598275703 | Liberty Endoscopy Center | Clinic/Center | 7360 Liberty One Dr, Liberty Township, OH 45044 | 2017-10-03 |
| 1295250330 | Inocencia Catral Ayson-schmidt | Registered Nurse | 2021 Monarch Drive, Middletown, OH 45044 | 2017-08-10 |
| 1356862973 | Selena E Mack | Home Health Aide | 1407 East St, Middletown, OH 45044 | 2017-07-05 |
| 1083135792 | Caroline Marie Goff | Social Worker | 321 Curtis Street, Middletown, OH 45044 | 2017-07-03 |
| 1013445659 | Erinn Michelle Torbeck | Dentist | 6862 Liberty Plaza Dr Ste 500, Liberty Township, OH 45044 | 2017-05-26 |
| 1194263160 | Pamela Gill | Private Vehicle | 1705 Sheridan Ave, Middletown, OH 45044 | 2017-02-09 |
| 1093265217 | Shirletta Hilton | Registered Nurse | 6143 Dawson Dr, Middletown, OH 45044 | 2016-10-12 |
| Find all providers in zip 45044 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225641210 | Channel Malissa Reeder | Counselor | 31 Meadow View Dr, Middletown, NY 10940-3358 | 2020-08-28 |
| 1285244889 | Jenna D Howard | Counselor | 832 Guthrie Cir, Middletown, DE 19709-9977 | 2020-08-07 |
| 1952910150 | Tiyahna Miles | Counselor | 336 Liborio Dr, Middletown, DE 19709-3111 | 2020-07-24 |
| 1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
| 1366080624 | Jennifer Calahan | Counselor | 10 Jersey Ct, Middletown, DE 19709-6813 | 2019-12-18 |
| 1679111991 | Better Days Counseling, LLC | Counselor | 360 Main St Apt 2, Middletown, CT 06457-3375 | 2019-12-17 |
| 1508425612 | Shatema Smith | Counselor | 4 Cobb Ln Apt J, Middletown, NY 10940-7049 | 2019-06-12 |
| 1801371729 | Taylor S Smith | Counselor | 1801 Oberlin Rd Ste 30312, Middletown, PA 17057-2998 | 2018-09-26 |
| 1922586288 | Christiana Care Health Services Inc | Counselor | 1080 Bunker Hill Rd, Middletown, DE 19709-9026 | 2018-07-30 |
| 1295227148 | Nicole May | Counselor | 11 Jimal Dr, Middletown, NY 10940-3649 | 2018-06-05 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 45044 |
Please comment or provide details below to improve the information on ALICIA BACK.
| 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.