MS. MICHELLE RAYNEE KVEUM


Address: 1615 Martin Luther King Blvd., Malvern, AR 72104
Phone: 5013325236

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
P1005027 AR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR 227042719 05

Office Location

Street Address 1615 MARTIN LUTHER KING BLVD.
City MALVERN
State AR
Zip Code 72104

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MALVERN
Zip Code 72104

Improve Information

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Dataset Information

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.

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