DR. CHARLES TREVON CLOW (NPI# 1679515274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679515274 |
| Entity Type | Individual |
| Full Name | DR. CHARLES TREVON CLOW |
| Credential | PH.D., LMHC |
| Practice Address |
221 N Causeway Suite B New Smyrna Beach FL 32169-5298 |
| Practice Telephone | 3864284564 |
| Practice Fax Number | 3864284539 |
| Mailing Telephone | 3864284564 |
| Mailing Fax Number | 3864284539 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH5611 | FL | Behavioral Health & Social Service Providers |
| Street Address |
221 N CAUSEWAY SUITE B |
| City | NEW SMYRNA BEACH |
| State | FL |
| Zip Code | 32169-5298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932140175 | Lisa Sundvall Merilson | Clinical Neuropsychologist | 221 N Causeway, Suite B, New Smyrna Beach, FL 32169-5298 | 2006-06-09 |
| 1023396934 | Trevon Clow Counseling Therapies, Inc | Counselor | 221 N Causeway, Suite B, New Smyrna Beach, FL 32169-5298 | 2011-07-26 |
| 1376714196 | Suzanne Blandi | Massage Therapist | 221 N Causeway, Suite C, New Smyrna Beach, FL 32169-5298 | 2008-03-19 |
| 1154508901 | Julie L Parker | Psychologist | 221 N Causeway, Suite B, New Smyrna Beach, FL 32169-5298 | 2008-01-23 |
| 1033313903 | Volusia Neuropsychology & Behavioral Health Inc | Psychologist | 221 N Causeway, Suite B, New Smyrna Beach, FL 32169-5298 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730604687 | Kristopher Allen Kessler | Chiropractor | 701 E 3rd Ave Unit 5, New Smyrna Beach, FL 32169 | 2017-08-11 |
| 1326420449 | Hugh Jacob Flanagan | Pharmacist | 709 E. 3rd Ave., New Smyrna Beach, FL 32169 | 2015-06-25 |
| 1518371996 | Shoreside Medical Center LLC | General Practice | 419 East Third Ave, New Smyrna Beach, FL 32169 | 2014-06-13 |
| 1447692272 | Donald B Walsh | Massage Therapist | 259 N Causeway, New Smyrna, FL 32169 | 2013-07-22 |
| 1841572047 | John A Stamm Jr. | Pharmacist | 800 Hwy A1a, New Smyrna Beach, FL 32169 | 2011-09-13 |
| 1578845764 | Benjamin Hanna | Pharmacist | 800 State Hwy A1a, New Smyrna Beach, FL 32169 | 2011-09-13 |
| 1669794681 | Health Point Pllc | Acupuncturist | 394-b North Causeway, New Smyrna Beach, FL 32169 | 2010-02-17 |
| 1831388917 | Evan D Magee | Specialist | 221 Robinson Rd, New Smyrna Bch, FL 32169 | 2007-10-15 |
| 1538376629 | Cathy Elizabeth Harris | Acupuncturist | 221 North Causeway, Suite C, New Smyrna Beach, FL 32169 | 2007-05-17 |
| 1770700106 | Andrea J Robins | Mechanotherapist | 101 Cedar Dunes Drive, New Smyrna Beach, FL 32169 | 2007-04-19 |
| Find all providers in zip 32169 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760027171 | Jessica Lyn Magers | Counselor | 136 Julia Street, Unit 100, New Smyrna Beach, FL 32168 | 2019-11-08 |
| 1932669132 | Wellspring Mental Health Group | Counselor | 1121 N Dixie Fwy, New Smyrna Beach, FL 32168-6069 | 2019-03-22 |
| 1154863439 | Jennifer Rogers | Counselor | 407 Cedar Ave, New Smyrna Beach, FL 32169-2661 | 2016-11-17 |
| 1285036657 | Jamie Mccole | Counselor | 204 Ranchette Rd, New Smyrna Beach, FL 32168-9097 | 2014-09-17 |
| 1487073326 | Sharon Louise Crane | Counselor | 161 Turnberry Cir, New Smyrna Beach, FL 32168-7938 | 2014-04-08 |
| 1851680417 | Page Thanasiu | Counselor | 453 Luna Bella Ln, New Smyrna Beach, FL 32168-5347 | 2011-04-05 |
| 1871611129 | Daniel H Crandall | Counselor | 2 Swan Ave, New Smyrna Beach, FL 32168-6018 | 2007-03-26 |
| 1992303671 | Kimberly Michelle Ingram | Counselor | 1121 N Dixie Fwy, New Smyrna Beach, FL 32168-6069 | 2020-10-14 |
| 1871059030 | Counseling-therapy of New Smyrna-port Orange-daytona | Counselor | 313 Cedar Ave, New Smyrna Beach, FL 32169-2618 | 2019-02-13 |
| 1720502206 | Reform Recovery, Inc. | Counselor | 233b N Causeway, New Smyrna Beach, FL 32169-5239 | 2017-07-27 |
| Find all providers in NEW SMYRNA BEACH | ||||
| City | NEW SMYRNA BEACH |
| Zip Code | 32169 |
Please comment or provide details below to improve the information on DR. CHARLES TREVON CLOW.
| 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.