MR. LARRY EVANS JR. (NPI# 1093089492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093089492 |
Entity Type | Individual |
Full Name | MR. LARRY EVANS JR. |
Credential | LPC |
Practice Address |
175 Gwinnett Dr Lawrenceville GA 30046-8444 |
Practice Telephone | 6782092394 |
Practice Fax Number | 6782126343 |
Mailing Telephone | 6782092394 |
Mailing Fax Number | 6782126343 |
Enumeration Date | 2012-03-02 |
Last Update Date | 2014-06-23 |
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 | 101YM0800X |
Counselor Specialization: Mental Health |
CH1823 | MS | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083682439 | Larry A Evans | Dermatology | 79 Turnpike Ave, Portsmouth, RI 02871-1419 | 2006-03-10 |
1770557373 | Larry W Evans | Anesthesiology | 6202 Iola Ave Ste 101, Lubbock, TX 79424-2729 | 2006-02-13 |
1104815042 | Larry James Evans | Dentist | 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236 | 2005-10-13 |
1730727660 | Larry Brian Evans | Dentist | 55 Towler Rd, Lawrenceville, GA 30046-4717 | 2019-12-10 |
1710421912 | Larry Evans | Counselor | 621 W Madrone St, 621 W Madrone Street, Roseburg, OR 97470-3090 | 2016-12-07 |
1699959437 | Larry Evans | Counselor | 1654 E Union St, Greenville, MS 38703-3250 | 2007-12-27 |
1669540522 | Larry Craig Evans | Internal Medicine | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 | 2006-11-30 |
1922198589 | Larry Evans | Psychologist | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
1427069020 | Larry Burnett Evans | Dentist | 200 Mlk Jr Blvd, Wichita Falls, TX 76301-1152 | 2006-08-10 |
1356316202 | Larry D Evans | Dentist | 3550 S 4th St, Suite 240, Leavenworth, KS 66048-5071 | 2006-02-22 |
Street Address |
175 GWINNETT DR |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30046-8444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609853860 | View Point Health | Day Training, Developmentally Disabled Services | 175 Gwinnett Dr, Post Office Box 687, Lawrenceville, GA 30046-8444 | 2005-12-29 |
1235739400 | Jennifer Kabiu | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-27 |
1164021135 | Irene Bautista Lopez | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-21 |
1720686132 | Kimberly Gamble | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-16 |
1205443868 | Pablo David Faundez | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-28 |
1295341717 | Sydney Calloway | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-21 |
1275149932 | Kenysha Doyen Thompson | Social Worker | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-18 |
1457967218 | Taylor Mays | Social Worker | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-17 |
1366058299 | Emma Paduraru | Nutritionist | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-16 |
1922613330 | Shamikia Mcghee | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
Find all providers in zip 30046 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134735202 | Lighthouse Family Service Center | Counselor | 150 Stanley Ct Ste B, Lawrenceville, GA 30046-5215 | 2020-09-23 |
1285248005 | Laura Meeks | Counselor | 1929 Whitehawk Ct, Lawrenceville, GA 30043-6641 | 2020-08-31 |
1184237125 | Luz Melania Soto Garcia | Counselor | 760 Longleaf Blvd Ste A, Lawrenceville, GA 30046-8458 | 2020-08-28 |
1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
1366001695 | Holton Ariel Daniel | Counselor | 233 N Main St Ste B, Lawrenceville, VA 23868-1807 | 2019-06-11 |
1326603119 | Easter's Family Services | Counselor | 102 E Hicks St Ste 303, Lawrenceville, VA 23868-1830 | 2019-05-07 |
1023577053 | Brittany Williams | Counselor | 175 Gwinnet Drive, Lawrenceville, GA 30046-8444 | 2019-03-19 |
1699230052 | Josephine Lola Banjoko | Counselor | 1402 Park Hollow Ln, Lawrenceville, GA 30043-3878 | 2019-02-09 |
1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
1902376551 | Lekicha Monique Cabiness | Counselor | 102 Hicks St. Suite 303, Lawrenceville, VA 23868 | 2018-11-27 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30046 |
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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.