MRS. MICHELLE B CLEM (NPI# 1790961464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790961464 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE B CLEM |
| Other Name | MICHELLE JACOB BURCHFIELD |
| Credential | LPC |
| Practice Address |
201 Baker Blvd Leland MS 38756 |
| Mailing Address |
201 Baker Blvd Leland MS 38756-3401 |
| Practice Telephone | 6626864121 |
| Practice Fax Number | 6626864770 |
| Mailing Telephone | 6626864121 |
| Mailing Fax Number | 6626864770 |
| Enumeration Date | 2008-01-12 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 Baker Blvd, Leland, MS 38756 | 6626864121 | 6626864770 |
| Street Address |
201 BAKER BLVD |
| City | LELAND |
| State | MS |
| Zip Code | 38756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134164916 | Heather Lloyd | Nurse Practitioner | 201 Baker Blvd, Leland, MS 38756 | 2006-06-17 |
| 1962043281 | Robdreka Shaw | Counselor | 201 Baker Blvd, Leland, MS 38756-3401 | 2019-10-08 |
| 1366942971 | Nicole Bradley Andrews | Speech-Language Pathologist | 201 Baker Blvd, Leland, MS 38756 | 2018-02-20 |
| 1427565886 | Abbie Sightler Robinson | Counselor | 201 Baker Blvd, Leland, MS 38756-3401 | 2018-01-08 |
| 1174036792 | Carrie Whitt | Speech-Language Pathologist | 201 Baker Blvd, Leland, MS 38756-3401 | 2017-11-06 |
| 1710499447 | Mary Catherine Ruscoe | Speech-Language Pathologist | 201 Baker Blvd, Leland, MS 38756-3401 | 2017-11-03 |
| 1326550468 | Sheena Brown | Counselor | 201 Baker Blvd, Leland, MS 38756-3401 | 2017-10-30 |
| 1326561895 | Nash Burnside | Occupational Therapy Assistant | 201 Baker Blvd, Leland, MS 38756-3401 | 2017-07-17 |
| 1982127445 | Lauren Austin | Physical Therapy Assistant | 201 Baker Blvd, Leland, MS 38756-3401 | 2017-07-17 |
| 1669903001 | Amanda Leigh Suell | Occupational Therapist | 201 Baker Blvd, Leland, MS 38756-3401 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447705314 | Elizabeth Bell | Physical Therapist | 28 S. Point Dr., Leland, MS 38756 | 2016-08-22 |
| 1902138050 | Leland School District | Local Education Agency (LEA) | 408 East Fourth Street, Leland, MS 38756 | 2010-01-31 |
| 1275631699 | Mississippi Holistic Hospice Care Inc | Hospice Care, Community Based | 109 East Street, Unit A, Leland, MS 38756 | 2006-09-20 |
| 1104933316 | James M Huoni Sr. | Dentist | 305 No Broad Street, Leland, MS 38756 | 2006-08-24 |
| 1427468073 | Mississippi State Department of Health | Public Health or Welfare | 801 N Broad St, Leland, MS 38756-2546 | 2014-05-05 |
| 1578926655 | Latoyia Cole | In Home Supportive Care | 511 N Main St, Leland, MS 38756-2657 | 2016-04-05 |
| 1548735558 | A & A Infusion & Specialty, LLC | Pharmacy | 125 E 3rd St, Leland, MS 38756-2705 | 2018-10-05 |
| 1699233916 | Cox Healthcare Clinic, LLC | Clinic/Center | 402 E 3rd St, Leland, MS 38756-2712 | 2019-03-05 |
| 1235772070 | Gail M Sims | Pharmacist | 311 N Main St, Leland, MS 38756-2738 | 2019-10-24 |
| 1598235913 | Leland Drug Company, Inc | Pharmacy | 311 N Main St, Leland, MS 38756-2738 | 2018-11-28 |
| Find all providers in zip 38756 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447414990 | Shelly Frazier Fowler | Counselor | 506 S Deer Creek Dr W, Leland, MS 38756-3132 | 2008-07-14 |
| 1518044015 | Linda Joyce Cooper | Counselor | 1008 Little Egret Run, Leland, NC 28451-4108 | 2006-11-01 |
| 1962043281 | Robdreka Shaw | Counselor | 201 Baker Blvd, Leland, MS 38756-3401 | 2019-10-08 |
| 1427565886 | Abbie Sightler Robinson | Counselor | 201 Baker Blvd, Leland, MS 38756-3401 | 2018-01-08 |
| 1033541180 | Parker-swain Consultants | Counselor | 1107 New Pointe Blvd, Unit 16, Leland, NC 28451-4128 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134868 | Charsie Duvall | Counselor | 1302 Pleasant Grove Chapparal Rd, Waynesboro, MS 39367-7415 | 2020-11-02 |
| 1356940977 | Joy Wheeler | Counselor | 8631 Pigeon Roost Rd, Olive Branch, MS 38654-1298 | 2020-10-23 |
| 1427655364 | Nurturing Hands | Counselor | 296 Beauvoir Rd Ste 100-156, Biloxi, MS 39531-4051 | 2020-10-05 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1245846807 | Rochelle Grice | Counselor | 6871 Wrenwood Dr, Horn Lake, MS 38637-7710 | 2020-09-18 |
| 1265047237 | Tori Weatherspoon | Counselor | Timber Hills Mental Health Services, 2441- A Co Rd 501, Ripley, MS 38663 | 2020-09-15 |
| 1629681531 | Kayla Denea White | Counselor | 6 Professional Pkwy, Ridgeland, MS 39157-4113 | 2020-08-28 |
| 1184242711 | New Life Goals, LLC | Counselor | 504 Cooper Rd, Jackson, MS 39212-4704 | 2020-07-09 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1477179315 | Fredna Leigh Georgen | Counselor | 615 Highway 469 N, Florence, MS 39073-8928 | 2020-06-16 |
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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.