ALICIA SMALLS (NPI# 1710390224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710390224 |
| Entity Type | Individual |
| Full Name | ALICIA SMALLS |
| Credential | LPC |
| Practice Address |
3626 Latrobe Dr Charlotte NC 28211-1388 |
| Practice Telephone | 7042154538 |
| Mailing Telephone | 7042155438 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
9447 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
9447 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1409 East Blvd, Charlotte, NC 282035817 | 9802257899 | |
| 3626 Latrobe Dr, Charlotte, NC 282111388 | 9103184152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750918454 | Alicia Smalls | In Home Supportive Care | 104 Robin Ct, Summerville, SC 29485-7411 | 2020-03-24 |
| Street Address |
3626 LATROBE DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790745495 | Joel A Onafowokan | Internal Medicine | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2006-03-25 |
| 1114583358 | Bezawit Abebe | Nurse Practitioner | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2019-05-14 |
| 1134598790 | Phuong Minh Bui | Counselor | 3626 Latrobe Dr, Suite 102, Charlotte, NC 28211-1388 | 2015-09-24 |
| 1093108896 | Bobbie C Stokes | Health Educator | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2015-03-18 |
| 1447504485 | Restoration Physiotherapy, Inc. | Clinic/Center | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2012-10-30 |
| 1992947766 | Faith Medical Center P.C. | Psychiatry & Neurology | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2009-03-25 |
| 1700027307 | Ambrosha Nicole Jordan | Nurse Practitioner | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2009-03-12 |
| 1528239357 | Christine Renee Getty | Physician Assistant | 3626 Latrobe Dr, Charlotte, NC 28211-1183 | 2008-03-19 |
| 1639123391 | Heart Care Center of Charlotte | Internal Medicine | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2006-05-19 |
| 1932167004 | Hossein H Farahany | Internal Medicine | 3626 Latrobe Dr, Charlotte, NC 28211-1183 | 2006-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
| 1952925141 | Leanna R Rice | Counselor | 6015 Glendale Chase Ct Apt 302, Charlotte, NC 28217-0077 | 2020-06-03 |
| 1902429772 | Sunshine Care LLC | Counselor | 2108 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4215 | 2020-05-27 |
| 1194348557 | Immerse & Emerge Counseling | Counselor | 10617 Kettering Dr Ste 113, Charlotte, NC 28226-4900 | 2020-05-20 |
| 1477174464 | Oliver's Contracting, Consulting, & Counseling Services, Pllc | Counselor | 4108 Park Rd Ste 408, Charlotte, NC 28209-2262 | 2020-04-30 |
| 1720619679 | John Wesley Goodwin IIi | Counselor | 5015 Stowe Derby Dr, Charlotte, NC 28278-7377 | 2020-01-30 |
| 1063059731 | Justina Mame Adadewa Ankrah | Counselor | 3001 Buckleigh Dr, Charlotte, NC 28215-7538 | 2019-12-02 |
| 1538704051 | Hattie M Williams | Counselor | 7517 Orr Rd, Charlotte, NC 28213-6544 | 2019-11-07 |
| 1720623390 | Maylee Vazquez | Counselor | 201 Stetson Dr, Charlotte, NC 28262-3364 | 2019-11-07 |
| 1053955468 | Hollis Wilson | Counselor | 6715a Fairview Rd Ste 102, Charlotte, NC 28210-3323 | 2019-10-30 |
| Find all providers in CHARLOTTE | ||||
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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.