DOMINIQUE MYRICK (NPI# 1922562909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922562909 |
| Entity Type | Individual |
| Full Name | DOMINIQUE MYRICK |
| Practice Address |
528 Dry Run Rd Portsmouth OH 45663-8988 |
| Mailing Address |
Po Box 184 Portsmouth OH 45662-0184 |
| Practice Telephone | 6149802116 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
528 DRY RUN RD |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45663-8988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538623368 | A Great Work Ministries Inc | Case Management | 528 Dry Run Rd, Portsmouth, OH 45663-8988 | 2019-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912164146 | Community Action Committee of Pike County | Clinic/Center | 23030 St Rt 73, Family Health Center West Portsmouth, Portsmouth, OH 45663 | 2008-05-16 |
| 1396885844 | Marilyn Kaye Hammond | Licensed Practical Nurse | 1403 9th Street, West Portsmouth, OH 45663 | 2007-02-07 |
| 1427073360 | Stakers Drugs Inc | Pharmacy | 2339 Galena Pike, West Portsmouth, OH 45663 | 2006-07-13 |
| 1992739551 | Washington Township | Ambulance | 1900 S.s. Davis Dr., West Portsmouth, OH 45663 | 2006-07-10 |
| 1629585211 | Emily M Brown | Counselor | 22664 State Route 73, West Portsmouth, OH 45663 | 2018-01-04 |
| 1497261044 | Tyler J Brown | Counselor | 22664 State Route 73, West Portsmouth, OH 45663 | 2017-12-19 |
| 1184970287 | Wanda Jane Hayslip | Home Health Aide | 958 Slab Run Rd, West Portsmouth, OH 45663-2013 | 2012-07-26 |
| 1760733299 | Connie Mae Simpson | Home Health Aide | 226 Whaley Rd Unit A, West Portsmouth, OH 45663-2019 | 2012-09-24 |
| 1770722027 | Washington-nile Local School District | Local Education Agency (LEA) | 15332 Us Highway 52, West Portsmouth, OH 45663-2035 | 2009-02-10 |
| 1164778262 | Beth Ann Evans | Licensed Practical Nurse | 63 Coleman Rd Unit C, West Portsmouth, OH 45663-3035 | 2012-07-26 |
| Find all providers in zip 45663 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054744 | Ellen Hirshberg | Counselor | 2456 Lafayette Road Suite 12, Portsmouth, NH 03801-0000 | 2020-08-18 |
| 1659998276 | Cheniqua Bene' Goode | Counselor | 4006 Victory Blvd Ste J239, Portsmouth, VA 23701-2844 | 2020-06-30 |
| 1588288021 | Ashley Kay Fayak | Counselor | 309 County St, Portsmouth, VA 23704-3701 | 2020-06-01 |
| 1659919157 | Margaret Twitty Payne | Counselor | 20 Eleanor Ct N, Portsmouth, VA 23701-3600 | 2019-12-15 |
| 1124687652 | Joseph Benjamin Atanacio | Counselor | 5694 Craneybrook Ln Apt B, Portsmouth, VA 23703-1729 | 2019-06-09 |
| 1609384171 | Nina Jordan | Counselor | 1394 Wool Ave, Portsmouth, VA 23707-3516 | 2018-01-17 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1376072728 | Cathy Manier | Counselor | 110 Afton Parkway, Portsmouth, VA 23702 | 2017-06-08 |
| 1285184168 | Sarah Crawford | Counselor | Harbor Point, 301 Fort Lane, Portsmouth, VA 23704 | 2016-10-04 |
| 1275993677 | Lindsey Christine Chase | Counselor | 103 Riverview Ave, Portsmouth, VA 23704-1918 | 2016-02-26 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45663 |
Please comment or provide details below to improve the information on DOMINIQUE MYRICK.
| 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.