MS. SANDRA DECOURSEY GRAHAM (NPI# 1790050284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790050284 |
| Entity Type | Individual |
| Full Name | MS. SANDRA DECOURSEY GRAHAM |
| Credential | MS, LPC |
| Practice Address |
4545 N 36th St Ste 102 Phoenix AZ 85018-3473 |
| Mailing Address |
Po Box 20045 Wickenburg AZ 85358-5045 |
| Practice Telephone | 9282329195 |
| Mailing Telephone | 9282329195 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-13806 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880572 | Sandra Graham | Chore Provider | 734 Burmont Rd, Drexel Hill, PA 19026-4322 | 2020-01-15 |
| 1851835441 | Sandra Graham | Nurse Practitioner | 101 Mcleod Health Blvd Ste 202, Myrtle Beach, SC 29579-4477 | 2016-12-15 |
| 1336356955 | Sandra Dee Graham | Licensed Practical Nurse | 47 Finch St, Rochester, NY 14613-2236 | 2007-05-16 |
| 1215149109 | Sandra Graham | Occupational Therapist | 2280 S Minneapolis St, Wichita, KS 67211-5398 | 2007-05-04 |
| 1093780710 | Sandra E Graham | Psychologist | 10533 W National Ave, Suite 300, Milwaukee, WI 53227-2041 | 2006-02-17 |
| 1205451549 | Sandra A Graham | Pharmacist | 5040 Ritter Rd, Mechanicsburg, PA 17055-4879 | 2020-06-12 |
| 1336775451 | Sandra Graham | Registered Nurse | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2020-03-20 |
| 1750888913 | Sandra Jean Graham | Counselor | 680 Northland Blvd, Cincinnati, OH 45240-3248 | 2018-04-12 |
| 1013176171 | Sandra Graham | Case Manager/Care Coordinator | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2008-06-04 |
| 1629250998 | Sandra L Graham | Physical Therapist | 4315 Diplomacy Dr, Anmc - Physical Therapy Dept, Anchorage, AK 99508-5926 | 2007-11-28 |
| Street Address |
4545 N 36TH ST STE 102 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018-3473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
| Find all providers in zip 85018 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557729 | Psychological and Consulting Services LLC | Counselor | 331 N 1st Ave Ste 102, Phoenix, AZ 85003-4528 | 2020-10-27 |
| 1447863683 | Mindscape Wellness LLC | Counselor | 4545 N 36th St Ste 117, Phoenix, AZ 85018-3473 | 2020-08-27 |
| 1700496718 | Suma Hodge | Counselor | 2341 N 83rd Dr, Phoenix, AZ 85037-3742 | 2020-08-04 |
| 1992322127 | North Pointe Services | Counselor | 1807 W Sienna Bouquet Pl, Phoenix, AZ 85085-8042 | 2020-07-03 |
| 1023630308 | Mary Squires Moran | Counselor | 14040 N Cave Creek Rd Ste 205, Phoenix, AZ 85022-6179 | 2020-05-10 |
| 1467087106 | Omnipotent Health Services | Counselor | 3442 W Paradise Dr, Phoenix, AZ 85029-2239 | 2020-03-03 |
| 1124650536 | Erica Van Parys | Counselor | 3207 E Medlock Dr, Phoenix, AZ 85018-1426 | 2020-02-05 |
| 1790324556 | Amy Kathleen Engle | Counselor | 2432 W Peoria Ave Ste 1123, Phoenix, AZ 85029-4733 | 2019-12-26 |
| 1851934012 | Extinguishing Fear Life Coaching | Counselor | 4435 E Chandler Blvd, Phoenix, AZ 85048-7649 | 2019-10-21 |
| 1134761661 | Kerry Jean Ramella | Counselor | 809 W Maryland Ave, Phoenix, AZ 85013-1325 | 2019-10-16 |
| Find all providers in PHOENIX | ||||
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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.