KIRBY RENAE POUGH (NPI# 1902398290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902398290 |
| Entity Type | Individual |
| Full Name | KIRBY RENAE POUGH |
| Credential | LSW, MSACE |
| Practice Address |
2419 10th St Meridian MS 39301-5040 |
| Practice Telephone | 6012821600 |
| Mailing Telephone | 6012821600 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MS | Behavioral Health & Social Service Providers |
| Street Address |
2419 10TH ST |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-5040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336688845 | Metro Treatment of Mississippi, Lp | Clinic/Center | 2419 10th St, Meridian, MS 39301-5040 | 2017-02-16 |
| 1891283651 | Lakrystal Ann Love | Counselor | 2419 10th St, Meridian, MS 39301-5040 | 2018-04-27 |
| 1205324977 | Tealacy Mitchell | Counselor | 2419 10th St, Meridian, MS 39301-5040 | 2018-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1366894933 | Velva Schnase | Counselor | 12151 S Henney Rd, Meridian, OK 73058-9644 | 2016-07-07 |
| 1962892372 | David Baumgart | Counselor | 5032 S Terri Way, Meridian, ID 83642 | 2015-01-23 |
| 1619374907 | Tame, LLC | Counselor | 7921 Poplar Springs Dr, Meridian, MS 39305-9247 | 2014-12-02 |
| 1194010025 | Benjamin Seymour | Counselor | 1833 Millennium Way Suite# 120, Meridian, ID 83642 | 2011-06-20 |
| 1174768345 | Wendi Mccutchen | Counselor | 660 E Franklin Rd, Suite 260, Meridian, ID 83642-2910 | 2008-12-02 |
| 1205472370 | Amanda Kay Lewis | Counselor | 850 E Franklin Rd Ste 405, Meridian, ID 83642-8917 | 2019-11-22 |
| 1457906620 | Angela Kay Potts | Counselor | 1125 E Pine Ave, Meridian, ID 83642-5955 | 2019-08-05 |
| 1205489234 | Tiffanie Diane Long | Counselor | 1125 E Pine Ave, Meridian, ID 83642-5955 | 2019-07-18 |
| 1891283651 | Lakrystal Ann Love | Counselor | 2419 10th St, Meridian, MS 39301-5040 | 2018-04-27 |
| Find all providers in MERIDIAN | ||||
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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.