MRS. DORIS MARIE HALLAM (NPI# 1720389091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720389091 |
| Entity Type | Individual |
| Full Name | MRS. DORIS MARIE HALLAM |
| Other Name | DORIS MARIE HALLAM |
| Credential | L.P.C. |
| Practice Address |
625 Missouri Ave Sullivan MO 63080-1537 |
| Practice Telephone | 5734682121 |
| Practice Fax Number | 5734686121 |
| Mailing Telephone | 5734682121 |
| Mailing Fax Number | 5734686121 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2008012437 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | NPI | 101Y00000X | 01 |
| Street Address |
625 MISSOURI AVE |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093157778 | Lifespan Counseling Center | Counselor | 625 Missouri Ave, Sullivan, MO 63080-1537 | 2013-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| Find all providers in zip 63080 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083069181 | Erin Booker | Counselor | 120 E Kennedy St, Sullivan, IL 61951-1646 | 2016-04-27 |
| 1790205656 | Melissa Leigh Hildebrandt | Counselor | 101 Progress Pkwy, Sullivan, MO 63080 | 2017-06-22 |
| 1225564792 | Tabitha Mcmichael | Counselor | 12 W Harrison St, Sullivan, IL 61951-1907 | 2017-05-03 |
| 1578990842 | Christiana Marie Hopper | Counselor | 12 W Harrison St, Sullivan, IL 61951-1907 | 2013-10-02 |
| 1548697972 | Sheilan Cook-cornman | Counselor | 110 W Main St, Sullivan, MO 63080-1910 | 2013-09-30 |
| 1093157778 | Lifespan Counseling Center | Counselor | 625 Missouri Ave, Sullivan, MO 63080-1537 | 2013-07-23 |
| 1114269909 | Jessie Daley | Counselor | 14 Park St, Sullivan, ME 04664 | 2013-03-20 |
| 1700172152 | Jill Paige Lesko | Counselor | 101 Progress Pkwy, Sullivan, MO 63080 | 2011-06-23 |
| 1285790584 | Linda Warren | Counselor | 202 Maple St, Sullivan, MO 63080 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899374 | Christopher Seigel | Counselor | 5317 Mild Dr, Saint Louis, MO 63129-3109 | 2020-10-26 |
| 1225637838 | Summer Lynn Mcgowan | Counselor | 12040 Southern Breeze, Dexter, MO 63841-2890 | 2020-10-23 |
| 1578162434 | Laquesha Boston | Counselor | 14463 Gravelle Ln, Florissant, MO 63034-2209 | 2020-10-21 |
| 1013515725 | Tim Gravier | Counselor | 770 Aramis Dr, Creve Coeur, MO 63141-7309 | 2020-10-14 |
| 1790383651 | Oasis Counseling and Enrichment | Counselor | 201 Main St Ste 9, Parkville, MO 64152-3645 | 2020-10-13 |
| 1912505082 | Rebekah Sue Weidenaar | Counselor | 503 W Reed St, Moberly, MO 65270-1509 | 2020-10-12 |
| 1407454580 | Ruth A Stoan | Counselor | 1308 W Waldo Ave, Independence, MO 64050-2544 | 2020-10-12 |
| 1679170971 | Avery C Lough | Counselor | 627 E Springfield St, Saint James, MO 65559-1655 | 2020-10-08 |
| 1245837921 | Wendy Velicer | Counselor | 208 N Central Ave Ste D, Eureka, MO 63025-1850 | 2020-10-06 |
| 1730786740 | Julie Lynn Perkins | Counselor | 26394 Highway C, Salem, MO 65560-8655 | 2020-10-02 |
| 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.