DWAYNE HARRIS (NPI# 1801459524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801459524 |
| Entity Type | Individual |
| Full Name | DWAYNE HARRIS |
| Credential | LPCA |
| Practice Address |
416 Mccullough Dr Ste 100 Charlotte NC 28262-4386 |
| Mailing Address |
303 Ferrell Ave Charlotte NC 28216-3185 |
| Practice Telephone | 7042374240 |
| Mailing Telephone | 9092149663 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A14651 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275983405 | Dwayne Harris | Technician, Other | 8561 Kenwood St, Oak Park, MI 48237-2344 | 2016-06-19 |
| 1306263710 | Dwayne Harris | Hospice Care, Community Based | 315 W Alabama St, Ste. 205, Houston, TX 77006-5161 | 2014-03-24 |
| 1003114760 | Dwayne K Harris | Counselor | 1155 Cherokee St, Denver, CO 80204-3632 | 2011-03-04 |
| 1598883415 | Dwayne E. Harris | Optometrist | 1450 Wo Ezell Blvd, #600, Spartanburg, SC 29301-1500 | 2007-03-27 |
| Street Address |
416 MCCULLOUGH DR STE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-4386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205329026 | Alison Elizabeth Lovkay | Physician Assistant | 416 Mccullough Dr Ste 100, Charlotte, NC 28262-4386 | 2018-06-07 |
| 1063022259 | Adina Samone Godette | Social Worker | 416 Mccullough Dr Ste 100, Charlotte, NC 28262-4386 | 2020-08-03 |
| 1356963441 | Alexander Philip Iuliano | Physician Assistant | 416 Mccullough Dr Ste 100, Charlotte, NC 28262-4386 | 2020-05-11 |
| 1205455078 | Caitlyn Sarich | Physician Assistant | 416 Mccullough Dr Ste 100, Charlotte, NC 28262-4386 | 2020-04-13 |
| 1619503547 | Destiny Deonna Walters | Physician Assistant | 416 Mccullough Dr Ste 100, Charlotte, NC 28262-4386 | 2020-03-23 |
| 1639731698 | Brittany Kemper Fritz | Physician Assistant | 416 Mccullough Dr Ste 100, Charlotte, NC 28262-4386 | 2019-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104008 | Kay Counseling, Pllc | Counselor | 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 | 2020-11-04 |
| 1588265144 | Blakeney Behavioral Health LLC | Counselor | 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 | 2020-11-02 |
| 1386243046 | Choice Counseling & Consulting, Pllc | Counselor | 9716 Rea Rd # B1167, Charlotte, NC 28277-6789 | 2020-10-22 |
| 1831797448 | Kiara Grier | Counselor | 6724 Lynmont Dr, Charlotte, NC 28212-5817 | 2020-10-15 |
| 1285231530 | Aliyah Shea Grinage | Counselor | 8815 University East Dr Ste 100, Charlotte, NC 28213-4106 | 2020-10-08 |
| 1386251213 | Silver Lining Counseling | Counselor | 3315 Springbank Ln Ste 302, Charlotte, NC 28226-3198 | 2020-09-24 |
| 1851907364 | Clarissa Jackson | Counselor | 10140 Hawkeye Dr, Charlotte, NC 28273-4536 | 2020-09-20 |
| 1437764529 | Kristyn Bly | Counselor | 6929 Weirton Pl, Charlotte, NC 28226-9502 | 2020-09-15 |
| 1740892546 | Marketa Winfield | Counselor | 7405 Hamilton Bridge Rd, Charlotte, NC 28278-6734 | 2020-08-21 |
| 1336751874 | Charidi Lyn Jamison | Counselor | 2730 E Wt Harris Blvd Ste 201, Charlotte, NC 28213-4063 | 2020-08-17 |
| Find all providers in CHARLOTTE | ||||
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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.