MR. MICHAEL SHANNON WATSON (NPI# 1881179307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881179307 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL SHANNON WATSON |
| Credential | M.A., LMFT-A |
| Practice Address |
409 Ruby Ridge Trl Lyman SC 29365-9580 |
| Practice Telephone | 8643506827 |
| Mailing Telephone | 8642145155 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6671 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351421 | Michael W Watson | Nurse Practitioner | 5250 Leetsdale Dr # 220, Denver, CO 80246-1438 | 2019-11-20 |
| 1104482041 | Michael Darrell Watson | Social Worker | 7401 Blackmon Rd Apt 1301, Columbus, GA 31909-4499 | 2019-05-16 |
| 1790259299 | Michael T Watson | Specialist/Technologist | 129 Westwood Dr, Brentwood, NY 11717-5715 | 2019-01-17 |
| 1881163335 | Michael Watson | Home Health Aide | 4126 Linden Ave # 101, Dayton, OH 45432-3018 | 2018-11-14 |
| 1023596335 | Michael Loren Watson | Licensed Vocational Nurse | 1110 Wigwam, Leander, TX 78641-2377 | 2018-07-31 |
| 1154817039 | Michael Watson | Technician | 604 46th Pl Se, Washington, DC 20019-7828 | 2018-07-03 |
| 1740639780 | Michael Alexander Watson | Peer Specialist | 6843 Nw Willow Springs Dr, 1211 Sw F Ave, Lawton, OK 73505-4251 | 2016-06-10 |
| 1124421359 | Michael Dallas Watson | Contractor | 12575 Us Highway 1, Ste 200, Juno Beach, FL 33408-2477 | 2014-10-02 |
| 1447669692 | Michael Watson | Military Health Care Provider | 1713 County Road 717, Enterprise, AL 36330-6105 | 2014-08-12 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| Street Address |
409 RUBY RIDGE TRL |
| City | LYMAN |
| State | SC |
| Zip Code | 29365-9580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902203813 | Stephanie Walker | Nurse Practitioner | 1295 Old Spartanburg Hwy, Careteam Health, Lyman, SC 29365 | 2014-11-21 |
| 1013356161 | Tyger River Pediatric Dentistry | Dentist | 312 Spartanburg Hwy., Lyman, SC 29365 | 2013-06-21 |
| 1649436791 | Ashlan Village Retirement Community | Assisted Living Facility | 415 Brenda Way, Lyman, SC 29365 | 2008-07-29 |
| 1538379086 | Lyman Dental Associates PC | Dentist | 301 Old Spartanburg Rd., Lyman, SC 29365 | 2007-05-23 |
| 1437297462 | Tina Louise Gaudiano | Counselor | 84 Groce Rd, Lyman, SC 29365 | 2007-02-02 |
| 1255477014 | Cathy Ford Sparks | Counselor | Middle Tyger Community Center, 84 Grace Rd, Lyman, SC 29365 | 2007-01-29 |
| 1194828657 | Kirk E Houston Dmd Pa | Dentist | 12313 Greenville Highway, Lyman, SC 29365 | 2006-09-07 |
| 1245347210 | Grady Stoddard Brooks Jr. | Dentist | 301 Old Spartanburg Road, Lyman, SC 29365 | 2006-08-24 |
| 1750494894 | Brian Kingston Armstrong | Dentist | 350 S Spartanburg Hwy, Lyman, SC 29365 | 2006-08-15 |
| 1164456075 | John Blair Pierce | Physical Therapy Assistant | 104 Gwendolyn Aevnue, Lyman, SC 29365 | 2006-07-10 |
| Find all providers in zip 29365 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198923 | Terry Kevin Pitts | Counselor | 245 Hartleigh Dr, Lyman, SC 29365-1258 | 2020-06-12 |
| 1700338944 | Latoya Downs | Counselor | 107 Red Berry Dr, Lyman, SC 29365-1226 | 2016-11-03 |
| 1780905521 | Williams Center for Achievemnet | Counselor | 617 Geranium Lane, Lyman, SC 29365-9123 | 2010-06-16 |
| 1992175913 | Caron Jones | Counselor | 84 Groce Rd, Mtcc, Lyman, SC 29365-1761 | 2015-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225450 | Aligning Life's Responsibilities, LLC | Counselor | 1361 W Wade Hampton Blvd Ste F153, Greer, SC 29650-1146 | 2020-11-03 |
| 1649879008 | Marianne Matos | Counselor | 93 Acorn Ln, Aiken, SC 29801-7621 | 2020-10-18 |
| 1568060291 | Serenity Therapy Services | Counselor | 4607 Charlotte Hwy Ste 18, Lake Wylie, SC 29710-8149 | 2020-10-14 |
| 1679171391 | Jeanne Harrell | Counselor | 860 Lowcountry Blvd Ste B, Mt Pleasant, SC 29464-3091 | 2020-10-14 |
| 1700484714 | Shira Simmons Culbreath | Counselor | 5124 Norway Ln, Rock Hill, SC 29732-8399 | 2020-10-12 |
| 1659978047 | Allyssa Resech | Counselor | 2075 Calloway Pines Dr, Tega Cay, SC 29708-7206 | 2020-10-08 |
| 1912514555 | Melissa-miles Dunn | Counselor | 451 Folly Rd Ste 107, Charleston, SC 29412-2640 | 2020-09-28 |
| 1396351953 | Dennis Austin Everson | Counselor | 102 Commons Blvd # C, Piedmont, SC 29673-7766 | 2020-09-18 |
| 1346855228 | Christopher B. Briggman | Counselor | 4501 Mixson Ave Apt 322, North Charleston, SC 29405-3227 | 2020-09-09 |
| 1508470840 | Christine Schaub | Counselor | 214 Autumn Run Cir, Columbia, SC 29229-7622 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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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.