MYISHA HOLT (NPI# 1770717407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770717407 |
| Entity Type | Individual |
| Full Name | MYISHA HOLT |
| Practice Address |
236 E 3rd St Suite B Perris CA 92570-2260 |
| Practice Telephone | 9516572960 |
| Enumeration Date | 2009-05-09 |
| Last Update Date | 2009-05-09 |
| 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) |
Behavioral Health & Social Service Providers |
| Street Address |
236 E 3RD ST SUITE B |
| City | PERRIS |
| State | CA |
| Zip Code | 92570-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124123211 | Perris Valley Recovery Program, Inc. | Case Management | 236 E 3rd St, Suite B, Perris, CA 92570-2223 | 2006-09-13 |
| 1922388214 | Marva Margaret Bourne | Marriage & Family Therapist | 236 E 3rd St, Suite B, Perris, CA 92570-2260 | 2011-08-18 |
| 1285869024 | Quinell Stephens | Counselor | 236 E 3rd St, Suite B, Perris, CA 92570-2260 | 2009-05-22 |
| 1851415285 | Tinya Holt | Social Worker | 236 E 3rd St, Suite B, Perris, CA 92570-2223 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
| 1790235109 | Jeromy Ford | Counselor | 226 W. 4th St, Perris, CA 92570 | 2016-10-10 |
| 1699196485 | Taniya Sweeney | Community/Behavioral Health | 413 South B Strret, Perris, CA 92570 | 2013-12-20 |
| 1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
| 1427370915 | Riverside Recovery Resources | Clinic/Center | 13911 Perris Blvd, Perris, CA 92570 | 2010-02-24 |
| 1144471939 | Three Angels Medical Professional Corporation | Internal Medicine | 180 East 4th St, Suite B and C, Perris, CA 92570 | 2008-10-10 |
| 1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
| 1598929341 | Jacqueline Anne Rockwell | Counselor | 555 Perris Blvd, Peris, CA 92570 | 2008-07-10 |
| 1053584128 | Perris Union High School District | Local Education Agency (LEA) | 755-b North A Street, Perris, CA 92570 | 2008-04-09 |
| 1477735215 | Christianne Nelson | Case Management | 308 E San Jacinto Avenue, Perris, CA 92570 | 2007-12-04 |
| Find all providers in zip 92570 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548819246 | Kiante Mckinley | Counselor | 172 Goldenrod Ave, Perris, CA 92570-7239 | 2019-09-05 |
| 1457897266 | Breaking Free of Addiction | Counselor | 27140 Plum St, Perris, CA 92570-7720 | 2017-01-18 |
| 1790235109 | Jeromy Ford | Counselor | 226 W. 4th St, Perris, CA 92570 | 2016-10-10 |
| 1639414360 | Racheal Katherine Kerr | Counselor | 2055 N Perris Blvd Ste G5-g6, Perris, CA 92571-2509 | 2012-12-06 |
| 1679803472 | Christine M Mcnees-kelly | Counselor | 236 E Third St, Suite B, Perris, CA 92570-2260 | 2009-12-30 |
| 1275777989 | Kelly Ann Caruso | Counselor | 2055 N Perris Blvd Ste G6, Perris, CA 92571-2516 | 2009-04-24 |
| 1891898391 | Mark Steven Verdugo | Counselor | 351 Wilkerson Ave Ste D, Perris, CA 92570-2203 | 2006-09-07 |
| 1003433137 | Shawna Michaele Mongiovi | Counselor | 170 Wilkerson Ave Ste A&b, Perris, CA 92570-2200 | 2020-07-06 |
| 1265915821 | Rachael Diane Ryan | Counselor | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2018-09-10 |
| 1982046371 | Lucille Crowder | Counselor | 170 Wilkerson Ave Ste C&d, Perris, CA 92570-2200 | 2013-07-25 |
| Find all providers in PERRIS | ||||
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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.