MARY LEE EVANS (NPI# 1679770622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679770622 |
| Entity Type | Individual |
| Full Name | MARY LEE EVANS |
| Credential | LMFT |
| Practice Address |
1630 Dale Earnhardt Blvd Kannapolis NC 28083-3210 |
| Practice Telephone | 2529446264 |
| Practice Fax Number | 7046552799 |
| Mailing Telephone | 2529446264 |
| Mailing Fax Number | 7046552799 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2014-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | 1218 | NC | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 5025A | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528417201 | Mary Evans | Nurse Practitioner | 645 Maryville Centre Dr, Saint Louis, MO 63141-5846 | 2016-06-03 |
| 1740613934 | Mary Karen Evans | Community Health Worker | 3115 Arthur Dr, Lake Havasu City, AZ 86404-9742 | 2013-08-12 |
| 1497966675 | Mary Yvonne Evans | Counselor | 24718 Templar Ave, Southfield, MI 48075-6937 | 2007-05-27 |
| 1336299411 | Mary P Evans | Massage Therapist | 16410 35th Avenue Ne, Ste 309, Arlington, WA 98223 | 2007-01-11 |
| 1477103661 | Mary Evans | Social Worker | 1025 Executive Park Blvd, Kingsport, TN 37660-4620 | 2019-09-19 |
| 1275181851 | Mary Leann Evans | Pharmacist | 950 15th St, Augusta, GA 30901-2608 | 2019-08-28 |
| 1073083119 | Mary Elizabeth Evans | Nurse Practitioner | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2018-12-02 |
| 1205324266 | Mary Louise Evans | Physical Therapist | 4200 Park Ave, Bridgeport, CT 06604-1049 | 2018-04-25 |
| 1083157127 | Mary Evans | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2016-11-21 |
| 1255789632 | Mary K Evans | Counselor | 320 W Olive St, Fort Collins, CO 80521 | 2016-05-26 |
| Street Address |
1630 DALE EARNHARDT BLVD |
| City | KANNAPOLIS |
| State | NC |
| Zip Code | 28083-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508388471 | Joanne Belk Hinkson | Counselor | 1630 Dale Earnhardt Blvd, Kannapolis, NC 28083-3210 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056244 | 5 Stone Therapy, LLC | Occupational Therapy Assistant | 2036 Quill Court, Kannapolis, NC 28083 | 2020-09-08 |
| 1679106900 | Total Renal Care of North Carolina, LLC | Clinic/Center | 614 S Cannon Blvd, Kannapolis, NC 28083 | 2020-02-14 |
| 1700428448 | Monarch | Community/Behavioral Health | 1276 Midlake Road, Kannapolis, NC 28083 | 2019-10-15 |
| 1275812612 | Rha Health Services Nc, LLC | Community/Behavioral Health | 1005 Oklahoma St, Kannapolis, NC 28083 | 2011-08-16 |
| 1265728687 | Delilah Jerelyn Jackson | Pharmacist | 559 Jackson Park Road, Kannapolis, NC 28083 | 2011-06-23 |
| 1770807562 | John Walsh Dds Pa | Dentist | 2222 Lake Concord Rd, Kannapolis, NC 28083 | 2010-03-23 |
| 1942534482 | Christina M Metts-wakeland | Massage Therapist | 2601 Cannon Blvd, Kannapolis, NC 28083 | 2009-10-01 |
| 1912164310 | Christian Women of Elegance Dba | Community/Behavioral Health | 397 Cannon South Boulevard, Kannapolis, NC 28083 | 2008-05-22 |
| 1265646582 | Rachal Alice David | Family Medicine | 241 Southaven Court, Kannapolis, NC 28083 | 2007-05-09 |
| 1154473601 | Bobby Edward Gibbs | Dentist | 281 S. Cannon Blvd, Kannapolis, NC 28083 | 2007-01-17 |
| Find all providers in zip 28083 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427568534 | Ashley Brooke Hines | Marriage & Family Therapist | 2308 Coach House Ln, Kannapolis, NC 28081-9415 | 2017-10-03 |
| 1811397011 | Cynthia Seaforth | Marriage & Family Therapist | 119 West Ave, Kannapolis, NC 28081-4332 | 2014-08-26 |
| 1194153882 | Robert Daniel Ellis Jr. | Marriage & Family Therapist | 715 Pine St, Kannapolis, NC 28081-4215 | 2013-10-16 |
| 1033203732 | Ellen Koski Ponton | Marriage & Family Therapist | 1305 S Cannon Blvd, Kannapolis, NC 28083 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841491 | Emily Brokaw | Marriage & Family Therapist | 10420 Park Rd # 100-b, Charlotte, NC 28210-8501 | 2020-11-05 |
| 1942809926 | Anna K Wallace | Marriage & Family Therapist | 2235 Locksley Woods Dr Apt E, Greenville, NC 27858-5461 | 2020-10-21 |
| 1053918961 | Tiana C Lanier-cherry | Marriage & Family Therapist | 628 Preston Grove Ave, Cary, NC 27513-8464 | 2020-10-04 |
| 1043826589 | Lauren Stiegler | Marriage & Family Therapist | 931 Haybeck Ln, Apex, NC 27523-6192 | 2020-09-21 |
| 1588279889 | Deborah Bell | Marriage & Family Therapist | 119 Sw Maynard Rd, Cary, NC 27511-4472 | 2020-09-14 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1467066753 | Geo'quana W Mcdougal | Marriage & Family Therapist | 1140 Kildaire Farm Rd Ste 304, Cary, NC 27511-7600 | 2020-09-03 |
| 1689286338 | Dina Rose Velazquez | Marriage & Family Therapist | 500 Lemon Pepper Pl, Wendell, NC 27591-8948 | 2020-08-23 |
| 1023631959 | Carolyn Neese | Marriage & Family Therapist | 4102 N Main St, High Point, NC 27265-1132 | 2020-05-27 |
| 1215550074 | Tiffany Guy | Marriage & Family Therapist | 4219 Springhaven Dr, Charlotte, NC 28269-1629 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | KANNAPOLIS |
| Zip Code | 28083 |
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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.