STARLA MARIE WESLEY (NPI# 1912436833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912436833 |
| Entity Type | Individual |
| Full Name | STARLA MARIE WESLEY |
| Other Name | STARLA MARIE MOORE |
| Credential | LADC |
| Practice Address |
3300 County Road 10 Ste 300a Brooklyn Center MN 55429-3066 |
| Mailing Address |
3300 County 10, Suite 300 A Brooklyn Center MN 55429 |
| Practice Telephone | 6127595654 |
| Mailing Telephone | 6127595654 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
304663 | MN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3300 COUNTY ROAD 10 STE 300A |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55429-3066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852979 | Comfort Home Care | Home Health | 5950 Beard Ave N, Brooklyn Center, MN 55429 | 2020-05-15 |
| 1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1184106254 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 W. Broadway Ave, Crystal, MN 55429 | 2018-09-05 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1023510526 | Family Trust Home Health, LLC | Home Health | 5901 Brooklyn Blvd Ste 201, Brooklyn Center, MN 55429 | 2018-03-01 |
| 1962910588 | Yer Yang | Massage Therapist | 5531 Orchard Ave N, Crystal, MN 55429 | 2018-01-17 |
| 1790203347 | Akeya Bolden | Counselor | 3212 64th Ave N, Brooklyn Center, MN 55429 | 2017-09-05 |
| 1386169316 | Sadia Pauletta Kruah | Transportation Broker | 6756 Grimes Pl North, Brooklyn Center, MN 55429 | 2017-08-10 |
| 1982134904 | Chad Geyen | Marriage & Family Therapist | 3300 County Rd. 10, Brooklyn Center, MN 55429 | 2017-06-13 |
| Find all providers in zip 55429 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718010 | The Way Community Behavioral Wellness Center | Counselor | 7038 Brooklyn Blvd Ste G, Brooklyn Center, MN 55429-1370 | 2020-10-21 |
| 1407402647 | Cynthia Edith Morquecho | Counselor | 6100 Camden Ave N, Brooklyn Center, MN 55430-2219 | 2019-08-14 |
| 1215400890 | Paye Mialor Sr. | Counselor | 4104 Lakeside Ave N, Brooklyn Center, MN 55429-3803 | 2019-01-07 |
| 1124535349 | Deanin Savon Willsun | Counselor | 3300 County Road 10 # 204b, Brooklyn Center, MN 55429-3072 | 2018-01-09 |
| 1679955355 | Janae Sullivan | Counselor | 6040 Earle Brown Dr Ste 420, Brooklyn Center, MN 55430-2562 | 2015-06-18 |
| 1528247269 | Erik Jeffrey. Rinke | Counselor | 6040 Earl Brown Dr., Suite 101, Brooklyn Center, MN 55430-2523 | 2007-10-30 |
| 1821169962 | Martha Bordwell | Counselor | 5615 Brooklyn Blvd, Suite 105, Brooklyn Center, MN 55429-3000 | 2006-11-12 |
| 1992311518 | Niema Ismael | Counselor | 5701 Shingle Creek Pkwy Ste 661, Brooklyn Center, MN 55430-2486 | 2020-09-18 |
| 1457966467 | Daijah Frazier | Counselor | 5701 Shingle Creek Pkwy Ste 661, Brooklyn Center, MN 55430-2486 | 2020-09-15 |
| 1861001307 | Hodaman Hussein | Counselor | 5701 Shingle Creek Pkwy Ste 661, Brooklyn Center, MN 55430-2486 | 2020-07-30 |
| Find all providers in BROOKLYN CENTER | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55429 |
Please comment or provide details below to improve the information on STARLA MARIE WESLEY.
| 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.