MS. MICHELLE RAYNEE KVEUM (NPI# 1851506570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851506570 |
Entity Type | Individual |
Full Name | MS. MICHELLE RAYNEE KVEUM |
Credential | LPC |
Practice Address |
1615 Martin Luther King Blvd. Malvern AR 72104 |
Mailing Address |
125 Wellness Way Hot Springs AR 71913-6478 |
Practice Telephone | 5013325236 |
Practice Fax Number | 5016205109 |
Mailing Telephone | 5016247111 |
Mailing Fax Number | 5016205109 |
Enumeration Date | 2007-05-14 |
Last Update Date | 2020-07-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
P1005027 | AR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 227042719 | 05 |
Street Address |
1615 MARTIN LUTHER KING BLVD. |
City | MALVERN |
State | AR |
Zip Code | 72104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700951068 | Brandi Bristow | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-11-22 |
1013187202 | Yvonne S Cook | Counselor | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2008-03-04 |
1750579603 | Pamela J Thomas | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2007-10-04 |
1639233364 | Pamela Sampson | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-12-20 |
1033273503 | Freeman Peters | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-12-20 |
1720141534 | Monica Young | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-12-19 |
1629132485 | Laurey Kagebein | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-12-19 |
1275696072 | James Sanders | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-12-19 |
1912060773 | Brandi Nolen | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-12-19 |
1194888404 | Patrick Beasley | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd., Malvern, AR 72104 | 2006-12-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
Find all providers in zip 72104 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952727554 | Cody Mcarthur | Counselor | 1910 Fox Run, Malvern, AR 72104-9161 | 2014-03-07 |
1417254640 | Joy G. Mears | Counselor | 20 Mystic Ln, Suite A, Malvern, PA 19355-1942 | 2011-02-24 |
1740486943 | Karen Denise Fry | Counselor | 1022 E Page Ave, Malvern, AR 72104-4362 | 2007-06-25 |
1689798993 | Maxus | Counselor | 132 W 2nd St, Malvern, AR 72104-3708 | 2007-03-19 |
1114076338 | Tracy E Hill | Counselor | 18 W King St, Malvern, PA 19355-2400 | 2007-01-09 |
1457421737 | Desiree Kenyetta Ross | Counselor | 89 Sagewood Dr, Malvern, PA 19355-2234 | 2006-11-08 |
1902831399 | Gary D. Kunz | Counselor | 6 Salisbury Ln, Malvern, PA 19355-2836 | 2006-07-12 |
1346215324 | Heather Lee Ramsay | Counselor | 580 Riverpark Dr, Malvern, AR 72104 | 2006-02-22 |
1154329571 | Linda Carman Copel | Counselor | 2256 Georgetown Dr, Malvern, PA 19355-2308 | 2005-07-10 |
1033740808 | Karen Eason | Counselor | 829 Halbert St, Malvern, AR 72104-2607 | 2020-01-30 |
Find all providers in MALVERN |
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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.