MS. ANA LYLLIAN GUADALUPE MENJIVAR-COUCH (NPI# 1053899757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053899757 |
| Entity Type | Individual |
| Full Name | MS. ANA LYLLIAN GUADALUPE MENJIVAR-COUCH |
| Credential | APC |
| Practice Address |
840 Lake Connie Rd Carrollton GA 30116-9783 |
| Practice Telephone | 7708537991 |
| Mailing Telephone | 7708537991 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | APC0005348 | GA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
APC-0005348 | GA | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
793694 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 840 Lake Connie Rd, Carrollton, GA 301169783 | 7708537991 |
| Street Address |
840 LAKE CONNIE RD |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30116-9783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518338300 | Carri Stewart | Specialist/Technologist | 123 Deer Park Dr, Carrollton, GA 30116 | 2015-10-19 |
| 1376953364 | Pope Counseling, LLC | Counselor | 251 Prism Dr., Suite 11, Carrollton, GA 30116 | 2014-04-30 |
| 1649453622 | Samantha Mindy Heard | Licensed Practical Nurse | 11 Oakridge Drive, Carrollton, GA 30116 | 2007-12-12 |
| 1528263837 | Nikki Kennedy | Contractor | 115 Castleman Road, Carrollton, GA 30116 | 2007-06-18 |
| 1841385671 | Margo Barnard | Counselor | 1774 Shady Grove Road, Carrollton, GA 30116 | 2006-10-04 |
| 1144878653 | Crystal Kelley Harden | Licensed Practical Nurse | 102 Quail Run, Carrollton, GA 30116-1894 | 2019-08-28 |
| 1871112110 | Lorie Maxwell Startup | Registered Nurse | 113 Central High Rd, Carrollton, GA 30116-4452 | 2020-04-15 |
| 1669960886 | Cindy R. Hunter | Dietitian, Registered | 104 Stoney Way, Carrollton, GA 30116-5108 | 2018-04-23 |
| 1659835320 | Gabriel Gherman | Pharmacist | 1963 Four Notch Rd, Carrollton, GA 30116-5223 | 2019-01-28 |
| 1144654013 | Cameron David Mount | Counselor | 997 Eagles Nest Cir, Carrollton, GA 30116-5496 | 2013-08-28 |
| Find all providers in zip 30116 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152809 | Wellovation LLC | Counselor | 1220 W Trinity Mills Rd, Carrollton, TX 75006-1303 | 2020-10-16 |
| 1083234678 | Faith Johnson | Counselor | 139 Newnan Rd, Carrollton, GA 30117-3442 | 2020-04-23 |
| 1104454016 | Karmen Kay Scott | Counselor | 20396 Cr 240, Carrollton, MO 64633-8151 | 2020-03-28 |
| 1396375341 | Princy Sebastian | Counselor | 4408 Emerald Dr, Carrollton, TX 75010-4514 | 2020-01-17 |
| 1528601010 | Tessa Isom | Counselor | 245 Second St Sw, Carrollton, OH 44615-1305 | 2019-10-28 |
| 1538713425 | Latoya Banton | Counselor | 85 Tyus Carrollton Rd, Carrollton, GA 30117-8254 | 2019-07-29 |
| 1669992061 | Vanessa Fajardo | Counselor | 1925 E Belt Line Rd Ste 258, Carrollton, TX 75006-5801 | 2017-06-27 |
| 1710422936 | Sharon Gayle Counseling | Counselor | 4700 N Josey Ln, 4121, Carrollton, TX 75010-4693 | 2016-12-24 |
| 1255602322 | Leston Marshall Underwood | Counselor | 2016 Hearthstone Dr, Carrollton, TX 75010-4019 | 2012-01-22 |
| 1760772438 | Deborah Hudson Stewart | Counselor | 506 Tanner St, Carrollton, GA 30117-3304 | 2011-04-14 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30116 |
Please comment or provide details below to improve the information on MS. ANA LYLLIAN GUADALUPE MENJIVAR-COUCH.
| 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.