TAUNDRA LAVAE EZELL (NPI# 1689166696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689166696 |
| Entity Type | Individual |
| Full Name | TAUNDRA LAVAE EZELL |
| Credential | CDAC |
| Practice Address |
350 S. Irwin Holland OH 43525 |
| Mailing Address |
350 S. Irwin Holland OH 43528 |
| Practice Telephone | 5677039064 |
| Mailing Telephone | 5677039064 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA167234 | OH | Behavioral Health & Social Service Providers |
| Street Address |
350 S. IRWIN |
| City | HOLLAND |
| State | OH |
| Zip Code | 43525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750660114 | Chris Kevin Chase | Registered Nurse | 204 Watts Street, Haskins, OH 43525-0000 | 2011-08-16 |
| 1164499265 | Middleton Township Trustees | Ambulance | 114 Sugar St, Haskins, OH 43525-0206 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133134 | Aspiring Hands, Inc. | In Home Supportive Care | 7142 Nightingale Dr Ste 2, Holland, OH 43528-7851 | 2020-10-29 |
| 1366041816 | Reign Residential and Day Services | Private Vehicle | 1058 Clark St Ste D, Holland, OH 43528-7950 | 2020-10-25 |
| 1700485935 | Jeanette Jefferson | Homemaker | 1852 Peacock Ln, Holland, OH 43528-9282 | 2020-10-19 |
| 1598364846 | Jenna Schra | Physical Therapist | 12723 N Bellwood Dr Ste 10, Holland, MI 49424-7275 | 2020-10-19 |
| 1750988432 | Caitlin Schwark | Nurse Practitioner | 3705 Northpointe Dr Apt 21, Holland, MI 49424-7796 | 2020-10-05 |
| 1982211413 | Marie J Hendricks | Counselor | 907 Bennett Pl, Holland, PA 18966-2636 | 2020-09-29 |
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1518572783 | Shanna Aline Housman | Counselor | 610 S 160th Ave, Holland, MI 49423-6706 | 2020-09-14 |
| 1154934982 | Ilead Spring Meadows | Local Education Agency (LEA) | 1615 Timber Wolf Dr, Holland, OH 43528-8304 | 2020-08-31 |
| 1851903272 | Theresa Tan | Nurse Practitioner | 647 Northridge Dr, Holland, MI 49423-9213 | 2020-08-18 |
| Find all providers in HOLLAND | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1841780921 | Timothy Patrick Murphy | Counselor | 6202 Trust Dr, Holland, OH 43528-8425 | 2018-05-15 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1154849511 | Teresa Nickole Dennis | Counselor | 6648 South Ave, Holland, OH 43528 | 2017-09-06 |
| 1821516659 | Todd Bieber | Counselor | 6202 Trust Drive, Holland, OH 43528 | 2017-08-31 |
| 1992238141 | Jamie Robinson-perrin | Counselor | 350 S. Irwin Rd., Holland, OH 43528 | 2017-04-05 |
| 1699214171 | Kim Brown | Counselor | 7015 Spring Meadows West Drive, Suite 102, Holland, OH 43528 | 2017-02-17 |
| 1932569407 | William Rietveld | Counselor | 665 136th Ave, Suite 50, Holland, MI 49424-1897 | 2016-02-26 |
| 1013376326 | Sonia Rae Horwitz | Counselor | 82 Buck Rd Ste 2, Holland, PA 18966-1751 | 2016-02-15 |
| Find all providers in HOLLAND | ||||
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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.