MICHELLE BOZEMAN (NPI# 1649877382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649877382 |
| Entity Type | Individual |
| Full Name | MICHELLE BOZEMAN |
| Credential | RBT |
| Practice Address |
16717 Us Highway 17 Ste 210 Hampstead NC 28443-3239 |
| Mailing Address |
910 Robert E Lee Dr Wilmington NC 28412-7140 |
| Practice Telephone | 9105992230 |
| Mailing Telephone | 9102628714 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
16717 US HIGHWAY 17 STE 210 |
| City | HAMPSTEAD |
| State | NC |
| Zip Code | 28443-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863719 | Faith Victoria Wilson Creech | Behavior Technician | 16717 Us Highway 17 Ste 210, Hampstead, NC 28443-3696 | 2020-05-20 |
| 1336763622 | Harmony Manning | Behavior Technician | 16717 Us Highway 17 Ste 210, Hampstead, NC 28443-3696 | 2020-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284745 | Jenean Lacorte | Specialist/Technologist, Other | 18676 Hwy 17 N., Suite 11, Hampstead, NC 28443 | 2020-10-29 |
| 1457966947 | Lauren Paige Nester | Registered Nurse | 113 Pagoda Ct., Hampstead, NC 28443 | 2020-09-10 |
| 1326503657 | Village Pharmacy of Hampstead Inc | Pharmacy | 14057 Hwy 17, Suite 100, Hampstead, NC 28443 | 2019-01-31 |
| 1154896280 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 1397 Us Hwy 17 North, Hampstead, NC 28443 | 2018-10-04 |
| 1134580178 | William Boone | Specialist/Technologist | 106 Katydid Ct, Hampstead, NC 28443 | 2016-03-18 |
| 1679959837 | New River Wellness, Pa | Social Worker | 15444 Us Highway 17 North, Bldg 233, Hampstead, NC 28443 | 2015-08-10 |
| 1932509791 | Laura Behr Jarosz | Physician Assistant | 114 Osier Dr, Hampstead, NC 28443 | 2014-08-29 |
| 1053737064 | Katelyn Braswell | Student in an Organized Health Care Education/Training Program | 309 Knollwood Dr, Hampstead, NC 28443 | 2014-03-14 |
| 1598101826 | Johnson Drug Hampstead Inc. | Pharmacy | 17230 Us Hwy 17n, Suite 222, Hampstead, NC 28443 | 2013-05-14 |
| 1053658302 | James William Boyer | Specialist/Technologist, Other | 1768 Hwy 210, Hampstead, NC 28443 | 2013-01-07 |
| Find all providers in zip 28443 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033622352 | Noreen Daly-eytel, Lcmhc | Community/Behavioral Health | 20 Mary E Clark Dr Ste 6a, Hampstead, NH 03841-2292 | 2017-11-08 |
| 1164795530 | Superior Innovative Services, LLC | Community/Behavioral Health | 15444 Us Hwy 17n, Building 24g, Hampstead, NC 28443 | 2012-02-16 |
| 1740417054 | Coastal Developmental Consulting | Community/Behavioral Health | 308 Grovediere Lane, Hampstead, NC 28443-2208 | 2009-06-12 |
| 1689815722 | Briana Marie Kelly | Community/Behavioral Health | 308 Grovediere Ln, Hampstead, NC 28443-2208 | 2009-03-19 |
| 1568639417 | Emerald Isle Behavioral Healthcare, Inc. | Community/Behavioral Health | 1775 Highway 210 E, Hampstead, NC 28443 | 2008-05-09 |
| 1972772572 | Solid Rock Intervention Services LLC | Community/Behavioral Health | 15444 Us Hwy 17 N, Hampstead, NC 28443 | 2008-02-27 |
| 1689021800 | Shelley Cushner Gardner Counseling Pllc | Community/Behavioral Health | 20 Mary E Clark Dr, Suite 8, Hampstead, NH 03841-2292 | 2016-05-17 |
| 1124480686 | Rockingham Counseling Center | Community/Behavioral Health | 10 Bricketts Mill Rd, Suite A, Hampstead, NH 03841-2396 | 2016-03-24 |
| 1013299049 | Mydiscover Incorporated | Community/Behavioral Health | 2 Village Green Rd, B-5, Hampstead, NH 03841-5209 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.