PALM WELLNESS, LLC (NPI# 1851999650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851999650 |
| Entity Type | Organization |
| Organization Name | PALM WELLNESS, LLC |
| Practice Address |
429 Front St Berea OH 44017-1716 |
| Practice Telephone | 4402121389 |
| Mailing Telephone | 4402121389 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | PHILLIP PALMISON (PROFESSIONAL CLINICAL COUNSELOR) |
| Authorized Official Telephone | 4402121389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0202676 | 05 |
| Street Address |
429 FRONT ST |
| City | BEREA |
| State | OH |
| Zip Code | 44017-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174567291 | John Bontempo | Social Worker | 429 Front St, Berea, OH 44017-1716 | 2006-06-16 |
| 1891329264 | Shannon Theus | Social Worker | 429 Front St, Berea, OH 44017-1716 | 2020-02-25 |
| 1891274767 | Johanna L Toomey | Counselor | 429 Front St, Berea, OH 44017-1716 | 2018-08-10 |
| 1710415047 | Paul Robert Lubben | Counselor | 429 Front St, Berea, OH 44017-1716 | 2017-05-31 |
| 1245763135 | Eric Michael Mccallister | Podiatrist | 429 Front St, Berea, OH 44017-1716 | 2017-04-06 |
| 1033641964 | Peter Milota | Social Worker | 429 Front St, Berea, OH 44017 | 2017-03-30 |
| 1700268406 | Nathaniel Hamm Dpm, LLC | Podiatrist | 429 Front St, Berea, OH 44017-1716 | 2015-06-18 |
| 1134477342 | Nathaniel A Hamm | Podiatrist | 429 Front St, Berea, OH 44017-1716 | 2012-08-20 |
| 1700918513 | Thomas W Dickinson | Counselor | 429 Front St, Berea, OH 44017-1716 | 2007-03-09 |
| 1477698637 | Linda B Blaser | Counselor | 429 Front St, Berea, OH 44017 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632759 | Faseeha Raza | Student in an Organized Health Care Education/Training Program | Baldwin Wallace University Physician Assistant Program, 201 Front Street, Berea, OH 44017 | 2020-05-28 |
| 1851885412 | Monica Lynne Mcfarland | Occupational Therapy Assistant | 570 North Rocky River Drive, Berea, OH 44017 | 2018-06-18 |
| 1700301207 | Cherelle Scott | Counselor | 398 W Bagley Road Ste, Suite 216, Berea, OH 44017 | 2017-08-07 |
| 1780042457 | Linda Lou Cummings | Social Worker | 202 E. Bagley Road, Berea, OH 44017 | 2016-02-09 |
| 1760827042 | Pathways Hospice LLC | Hospice Care, Community Based | 885 W. Bagley Road, Berea, OH 44017 | 2013-05-01 |
| 1336457134 | Mary Elizabeth Italiano-burke | Licensed Practical Nurse | 90 Emerson Dr., #11009, Berea, OH 44017 | 2010-09-15 |
| 1720260979 | Cooperative Medical Health Care Corporation Professional Association | Mechanotherapist | 165 W. Bagley Rd., Berea, OH 44017 | 2007-11-29 |
| 1326230616 | Marilyn Sue George | Psychoanalyst | 187 Seminary St, Berea, OH 44017 | 2007-08-10 |
| 1437371556 | Michael Charles Powell | Registered Nurse | 501 Nobottom Rd, Berea, OH 44017 | 2007-05-02 |
| 1538381439 | Paula Davis Fultz | Counselor | 303 E. Bagley Road, Berea, OH 44017 | 2007-05-02 |
| Find all providers in zip 44017 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285879205 | Carol J Stutts | Counselor | 108 Whispering Hills Dr, Berea, KY 40403-9753 | 2008-12-04 |
| 1376767640 | Carol Lynne Peachee | Counselor | 122 Main St Ste D, Ste D, Berea, KY 40403-1903 | 2007-04-11 |
| 1912030461 | Cynthia Louise Miller | Counselor | 285 E Bagley Rd, Berea, OH 44017-2038 | 2007-03-13 |
| 1598815565 | Michael P Lewis | Counselor | 1315 Gabbardtown Rd, Berea, KY 40403-9278 | 2007-01-11 |
| 1720579386 | Lauren Ware | Counselor | 202 E Bagley Rd, Berea, OH 44017-2058 | 2018-05-19 |
| 1104314152 | Angela Leek | Counselor | 202 E Bagley Rd, Berea, OH 44017-2058 | 2018-04-25 |
| 1699219196 | Monica M Mlinac | Counselor | 202 E Bagley Rd, Berea, OH 44017-2058 | 2016-12-19 |
| 1730634023 | Tonie R Horn | Counselor | 202 E Bagley Rd, Berea, OH 44017-2058 | 2016-08-17 |
| 1295183028 | Kerry W Copes | Counselor | 434 Eastland Rd, Berea, OH 44017-1217 | 2016-06-02 |
| 1639576721 | Tamie Proctor | Counselor | 700 Chestnut St, Berea, KY 40403-1558 | 2014-12-04 |
| Find all providers in BEREA | ||||
Please comment or provide details below to improve the information on PALM WELLNESS, LLC.
| 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.