MRS. MICHELE DONALDSON HOLBEN (NPI# 1790119063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790119063 |
| Entity Type | Individual |
| Full Name | MRS. MICHELE DONALDSON HOLBEN |
| Credential | LASAC |
| Practice Address |
3825 N 24th St Phoenix AZ 85016-6512 |
| Practice Telephone | 6022488886 |
| Mailing Telephone | 6022488886 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CADAC 2071 | AZ | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ICADC 711815 | AZ | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LASAC-13027 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
3825 N 24TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-6512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912933532 | Scott John Woffinden | Physical Therapist | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2006-06-24 |
| 1609361492 | Lauren Michelle Nivison | Nurse Practitioner | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2018-06-25 |
| 1659705416 | Suzanne Vivian Brown | Case Manager/Care Coordinator | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2013-08-29 |
| 1558795419 | Adriana Reyes | Case Manager/Care Coordinator | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2013-08-28 |
| 1891129029 | Shannan Zell Bogner | Case Manager/Care Coordinator | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2013-08-23 |
| 1851725212 | Mindy Bess Lacasse | Counselor | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2013-08-21 |
| 1619172004 | Community Medical Services Iv LLC | Non-emergency Medical Transport (VAN) | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2007-06-18 |
| 1255496469 | George Stavros | Family Medicine | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2006-12-27 |
| 1366507592 | Richard E Christensen | Physician Assistant | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2006-12-27 |
| 1467517672 | Jerry Bains | Family Medicine | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885716 | Global Family LLC | Counselor | 4523 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-09-15 |
| 1982218772 | Bashar Aldeen | Counselor | 3401 W Country Gables Dr, Phoenix, AZ 85053-4756 | 2020-08-31 |
| 1508478082 | Tahonna Latreise Surrell | Counselor | 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 | 2020-08-17 |
| 1346858883 | Heather Romero | Counselor | 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 | 2020-07-21 |
| 1134747546 | Arcadian Homes, LLC | Counselor | 5924 W Trumbull Rd, Phoenix, AZ 85043-1967 | 2020-07-13 |
| 1902423023 | Danielle Jeanette Le Blanc | Counselor | 3228 W Silver Sage Ln, Phoenix, AZ 85083-5866 | 2020-07-06 |
| 1366060477 | Rising Phoenix Neighborhood | Counselor | 202 E Earll Dr Unit 360-35, Phoenix, AZ 85012-2634 | 2020-07-06 |
| 1043832504 | Candice Marie Isaacson | Counselor | 2911 W Sunnyside Dr, Phoenix, AZ 85029-3302 | 2020-05-07 |
| 1639799356 | Harbor Health | Counselor | 3213 S 66th Ave, Phoenix, AZ 85043-1922 | 2020-04-22 |
| 1083247357 | Edward Scott White | Counselor | 2150 E Bell Rd Unit 1042, Phoenix, AZ 85022-2973 | 2020-02-14 |
| 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.