OUR VILLAGE SERVICES LLC (NPI# 1821637422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821637422 |
| Entity Type | Organization |
| Organization Name | OUR VILLAGE SERVICES LLC |
| Practice Address |
90 S Swan St Ste 303 Albany NY 12210-2105 |
| Mailing Address |
108b Vandenburgh Pl Troy NY 12180-6040 |
| Practice Telephone | 5186295409 |
| Mailing Telephone | 5186295409 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | TANYA HENDERSON (FOUNDER & CEO) |
| Authorized Official Telephone | 5186295409 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OUR VILLAGE SERVICES LLC | 108b Vandenburgh Pl, Troy, NY 12180-6040 |
| Street Address |
90 S SWAN ST STE 303 |
| City | ALBANY |
| State | NY |
| Zip Code | 12210-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841853660 | Tanya M Henderson | Counselor | 90 S Swan St Ste 303, Albany, NY 12210-2105 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851876296 | Michele Jane Harmon-gordon | Social Worker | Arbor Hill Elementary School, 1 Arbor Drive, Albany, NY 12210 | 2018-10-02 |
| 1235416348 | Elizabeth Haggerty Sontz | Registered Nurse | 1 Dudley Heights, Albany, NY 12210 | 2011-11-03 |
| 1821194002 | Christine M Daniel | Pharmacist | 800 Irving Ave, Va Medical Center, Syracuse, NY 12210 | 2006-09-15 |
| 1700187143 | Terry Paige | Contractor | 374 Hudson Ave, Albany, NY 12210-1003 | 2010-11-16 |
| 1396014122 | Pamela Chris Howard | Speech-Language Pathologist | 75 Willett St, 6a, Albany, NY 12210-1037 | 2011-12-22 |
| 1538471404 | Helen Titus Putriment I | Massage Therapist | 225 Lark St, Albany, NY 12210-1101 | 2010-07-08 |
| 1326461542 | Pamela Schwarz | Massage Therapist | 225 Lark St, Albany, NY 12210-1101 | 2014-01-23 |
| 1497709232 | Fred C Storm | Obstetrics & Gynecology | 259 Lark St, Albany, NY 12210-1108 | 2006-05-19 |
| 1720072952 | Victor L Tulchinsky | Family Medicine | 255 Lark St, Albany, NY 12210-1108 | 2005-09-02 |
| 1154502714 | Kiufong Melissa Hon-tulchinsky | Dietitian, Registered | 255 Lark St, Albany, NY 12210-1108 | 2007-11-23 |
| Find all providers in zip 12210 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373688 | David Wayne Cass Jr. | Counselor | 200 Jay St, Albany, NY 12210-1808 | 2020-10-13 |
| 1447861893 | Hannah Elizabeth Brooker | Counselor | 688 Myrtle Ave Apt 1, Albany, NY 12208-3331 | 2020-08-10 |
| 1679195796 | Allester Henry | Counselor | 307 Cortland St, Albany, NY 12208-2106 | 2020-05-12 |
| 1962042812 | Be Epic Counseling Services, LLC | Counselor | 323 Pine Ave Ste 114, Albany, GA 31701-2575 | 2020-01-08 |
| 1821636713 | Schae Premdas-auffant | Counselor | 4 Palisades Dr Ste 205, Albany, NY 12205-1449 | 2019-12-11 |
| 1962047282 | John N Kane | Counselor | 443 State St, Albany, NY 12203-1003 | 2019-11-11 |
| 1063054021 | Melissa A Kovelman | Counselor | 10 Barnet St, Albany, NY 12208-2402 | 2019-10-11 |
| 1841853660 | Tanya M Henderson | Counselor | 90 S Swan St Ste 303, Albany, NY 12210-2105 | 2019-04-17 |
| 1861055717 | Nikita Williams | Counselor | 422 Sand Creek Rd Apt 201, Albany, NY 12205-2722 | 2019-04-16 |
| 1013473065 | Joa Paige Riboul | Counselor | 31 Criswood Dr, Albany, NY 12205-1828 | 2019-02-14 |
| Find all providers in ALBANY | ||||
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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.