Mrs. Grace Polohonki (NPI# 1215551452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1215551452 |
| Entity Type | Individual |
| Full Name | Mrs. Grace Polohonki |
| Credential | B.S |
| Gender | Female |
| Practice Address |
490 Jefers Street Dubois PA 15801 |
| Practice Telephone | 8143711100 |
| Mailing Address |
793 Old Route 119 Hwy North Indiana PA 15701 |
| Mailing Telephone | 7244655576 |
| Sole Proprietor | No, this individual is not a Sole Proprietor |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 101YA0400X | Counselor · Addiction (Substance Use Disorder) | Behavioral Health & Social Service Providers |
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669039673 | Joshua John Hayes | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2019-05-24 |
| 1649833989 | Greta Lynne Weiss | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2019-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740885466 | East Coast Recovery Services | Counselor | 226 E Wyomissing Ave, Mohnton, PA 19540-1822 | 2020-12-01 |
| 1649874389 | David Harvey | Counselor | 907 S 47th St Apt 1f, Philadelphia, PA 19143-3635 | 2020-11-23 |
| 1720680820 | Regina R Mollett | Counselor | 16 N Fremont Ave, Pittsburgh, PA 15202-3228 | 2020-11-12 |
| 1740896851 | Laurelcare South/west LLC | Counselor | 1200 Brooks Ln Ste 210, Jefferson Hills, PA 15025-3761 | 2020-09-23 |
| 1750993325 | Dennis Lee Haynes Jr. | Counselor | 3501 Forbes Ave Fl 9, Pittsburgh, PA 15213-3317 | 2020-08-17 |
| 1992314850 | Finding Her Way, LLC | Counselor | 501 Valley Brook Rd Ste 204b, Mc Murray, PA 15317-3428 | 2020-07-27 |
| 1922626035 | Jane-marie Kennedy | Counselor | 2970 Corporate Ct Ste 1, Orefield, PA 18069-3158 | 2020-07-07 |
| 1871110270 | Randy Paul Macsisak | Counselor | 451 Chew St Ste 106, Allentown, PA 18102-3412 | 2020-07-01 |
| 1215554233 | Scott T Reiman | Counselor | 1224 Whitehall Ave, Easton, PA 18045-5621 | 2020-06-26 |
| 1386269231 | Rasheeda Jackson | Counselor | 117 Rosemar St, Philadelphia, PA 19120-1922 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
| Street Address |
490 JEFERS STREET |
| City | DUBOIS |
| State | PA |
| Zip Code | 15801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| 1225419666 | Dubois Dermatology and Cosmetics, LLC | Dermatology | 105 Beaver Dr, Suite 200, Dubois, PA 15801 | 2015-06-11 |
| Find all providers in zip 15801 | ||||
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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.