MS. PATRICE NICOLE SHUFORD (NPI# 1801426291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801426291 |
| Entity Type | Individual |
| Full Name | MS. PATRICE NICOLE SHUFORD |
| Practice Address |
1430 Farmer St Petersburg VA 23803-3941 |
| Mailing Address |
2 Flower Cir Petersburg VA 23803-4613 |
| Practice Telephone | 8049190364 |
| Mailing Telephone | 8049190364 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0704007639 | VA | Behavioral Health & Social Service Providers |
| Street Address |
1430 FARMER ST |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803-3941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436534 | Agape Angels Resoultion Services, LLC | Clinic/Center | 1430 Farmer St, Petersburg, VA 23803-3941 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705025 | Tyechia Michelle Parker | Counselor | 20 W Bank St Ste 8, Petersburg, VA 23803-3279 | 2019-11-20 |
| 1710467097 | Bernetta Rodgers Quinn | Counselor | 612 S Sycamore St Ste B, Petersburg, VA 23803-5837 | 2018-08-16 |
| 1124548581 | Healthyminds, Inc. | Counselor | 1250 E Washington St, Petersburg, VA 23803-3465 | 2017-06-26 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1679996870 | Jovat Bates | Counselor | 444 Pine Ridge Rd, Petersburg, VA 23805-1320 | 2014-01-24 |
| 1831521095 | Julie Baldock Timberlake | Counselor | 21 Walnut Blvd, Suites 1-3, Petersburg, VA 23805-2109 | 2013-07-30 |
| 1053671461 | Rizing Starz,llc | Counselor | 31c South Jefferson St, Petersburg, VA 23803-4331 | 2012-05-18 |
| 1871874867 | Jay Stanton Gregor | Counselor | 15, 12th St., Petersburg, AK 99833-2155 | 2011-09-02 |
| 1215172341 | Reginald Maurice Hill | Counselor | 20 W Bank St Ste 1, Petersburg, VA 23803-3279 | 2008-12-03 |
| 1063669414 | Therapeutic In Home Counseling | Counselor | 1949 Vesonder Rd, Petersburg, VA 23805-2933 | 2008-08-27 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
Please comment or provide details below to improve the information on MS. PATRICE NICOLE SHUFORD.
| 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.