MEDICARE: MISS DHURANIQUE DAPHNE LAURA FERGUSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1093405920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS DHURANIQUE DAPHNE LAURA FERGUSON

Provider Business Mailing Address
First Line	:	260 25TH ST NE APT 1604
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-3972
Country	:	US
Telephone Number	:	423-813-9579
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 N OCOEE ST
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-4475
Country	:	US
Telephone Number	:	423-380-8255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2023
Last Update Date	:	05/12/2023

Similar Medicare Providers

1831059146 — HANNAH STEWMAN
Practice Location Address:

1120 N OCOEE ST
CLEVELAND, TN
37311-4475

Practice Phone: 800-533-9930
Practice Fax:

1144878448 — JEFFREY BRYAN MULLINS ATC
Practice Location Address:

1120 N OCOEE ST
CLEVELAND, TN
37311-4475

Practice Phone: 423-614-8462
Practice Fax: 423-614-8438

1497461875 — YAZMINA GARCIA ORTIZ
Practice Location Address:

5709 CLARK AVE APT 1
CLEVELAND, OH
44102-4475

Practice Phone: 216-468-2554
Practice Fax:

1245011162 — THERESA PIERCE
Practice Location Address:

4475 W 158TH ST
CLEVELAND, OH
44135-2601

Practice Phone: 216-632-2029
Practice Fax:

1538947957 — JOHN NEWELL KING FNP-C
Practice Location Address:

2415 CHAMBLISS AVE NW
CLEVELAND, TN
37311-3882

Practice Phone: 423-559-2800
Practice Fax: 423-559-0532

1467316612 — EUGENE ERWIN HOPE
Practice Location Address:

654 RED CLAY RD SW
CLEVELAND, TN
37311-3301

Practice Phone: 423-505-6946
Practice Fax:

Directions to “ MISS DHURANIQUE DAPHNE LAURA FERGUSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.