DR. TERESA SIRES MCILWAIN (NPI# 1962781344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962781344 |
| Entity Type | Individual |
| Full Name | DR. TERESA SIRES MCILWAIN |
| Credential | DOCTOR OF MINISTRY |
| Practice Address |
3325 Washburn Ave Ste 121 Charlotte NC 28205-7024 |
| Practice Telephone | 7043707501 |
| Practice Fax Number | 7043351047 |
| Mailing Telephone | 7043707501 |
| Mailing Fax Number | 7043351047 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
80 | NC | Behavioral Health & Social Service Providers |
| Street Address |
3325 WASHBURN AVE STE 121 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28205-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260493 | Sarah Mcgeachy Greene | Social Worker | 1332 Morningside Dr., Charlotte, NC 28205 | 2020-09-16 |
| 1538705090 | Insight Counseling & Mental Health Co, Pllc | Social Worker | 4922 Albemarle Blvd, Charlotte, NC 28205 | 2019-11-20 |
| 1821631672 | Healthy Living Pharmacy | Pharmacy | 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 | 2019-10-24 |
| 1861957292 | Oakhurst Health Investers Inc. | Pharmacy | 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 | 2019-02-11 |
| 1710459938 | Leis Therapy LLC | Physical Therapist | 1617 Onslow Dr, Charlotte, NC 28205 | 2018-12-28 |
| 1518449776 | Natalie C Martinez-rogers Dmd Pa | Dentist | 2100 N Davidson St Ste B, Charlotte, NC 28205 | 2018-09-05 |
| 1144716499 | Resourceful Solutions II | Case Management | 4920 Albmarle Roadd, Charlotte, NC 28205 | 2018-07-10 |
| 1679072805 | Richard Mcdonald | Counselor | 4922 Albemarle Rd Ste 5, Charlotte, NC 28205 | 2018-02-02 |
| 1487160107 | Catherine King | Nurse Practitioner | 2801 Virginia Ave, Charlotte, NC 28205 | 2017-12-18 |
| 1295251213 | Kashmia A Fanning | Social Worker | 4822 Albermarle Road, Charlotte, NC 28205 | 2017-08-22 |
| Find all providers in zip 28205 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912328733 | Howard William Tyas Jr. | Counselor | 1204 The Plz, Suite 4, Charlotte, NC 28205-5053 | 2013-12-20 |
| 1144558941 | Charles Gordon Helms | Counselor | 6147 Kingstree Dr, Charlotte, NC 28210-5443 | 2009-12-07 |
| 1437391182 | Marilyn Hull Cirulis | Counselor | 1801 East 5th Street, Suite 110, Charlotte, NC 28204-2472 | 2009-03-27 |
| 1992941090 | Vicki Maria Haynes | Counselor | 12033 Red Leaf Dr, Charlotte, NC 28215-1002 | 2008-12-20 |
| 1003067695 | Jeff Randall Mishoe | Counselor | 310 East Blvd, C-8, Charlotte, NC 28203-4891 | 2008-10-01 |
| 1962610121 | Sarah Melissa Rieth | Counselor | 115 W 7th St, Charlotte, NC 28202-2127 | 2007-05-20 |
| 1306817242 | John Arey Jr. | Counselor | 1801 E. 5th St. Ste 110, Charlotte, NC 28204-2472 | 2006-01-30 |
| 1801872445 | James William Pruett | Counselor | 3900-b Park Rd, Charlotte, NC 28209 | 2005-12-15 |
| 1447773031 | Catherine Stowe Carstarphen | Counselor | 5203 Sharon Rd, Charlotte, NC 28210-4721 | 2017-07-25 |
| 1659802072 | Reginald Blackmon Sr. | Counselor | 525 North Tryon Street, Suite 1636, Charlotte, NC 28202 | 2017-03-27 |
| Find all providers in CHARLOTTE | ||||
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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.