MEDLIN TREATMENT CENTER INC (NPI# 1093868903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093868903 |
| Entity Type | Organization |
| Organization Name | MEDLIN TREATMENT CENTER INC |
| Practice Address |
110 Eagles Walk Ste. 100 Stockbridge GA 30281-7204 |
| Practice Telephone | 7705076044 |
| Practice Fax Number | 7705075284 |
| Mailing Telephone | 7705076044 |
| Mailing Fax Number | 7705075284 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | MR. JULIUS JERNIGAN HALL JR. (VICE-PRESIDENT) |
| Authorized Official Telephone | 7705076044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
110 EAGLES WALK STE. 100 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-7204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740411610 | Lashanna Newton | Counselor | 110 Eagles Walk, Ste 100, Stockbridge, GA 30281-7204 | 2009-07-27 |
| 1659562692 | Stacey Lajune Jackson | Psychologist | 110 Eagles Walk, Ste. 100, Stockbridge, GA 30281-7204 | 2007-08-06 |
| 1285857789 | Candace Devon Allen-staten | Psychologist | 110 Eagles Walk, Suite 100, Stockbridge, GA 30281-7204 | 2007-04-11 |
| 1598988040 | Melvina Alexis Norwood | Psychologist | 110 Eagles Walk, Ste. 100, Stockbridge, GA 30281-7204 | 2007-04-11 |
| 1477696243 | Tammy Coots | Psychologist | 110 Eagles Walk, Suite 100, Stockbridge, GA 30281-7204 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043705262 | Jennifer M Jackson-allen | Psychologist | 147 Stratmore Pl, Stockbridge, GA 30281-1083 | 2018-06-29 |
| 1962935890 | Ruffina David | Psychologist | 301 Country Club Dr, Stockbridge, GA 30281-7350 | 2017-04-07 |
| 1861945545 | Megan Kolano | Psychologist | 25 Main Street, Stockbridge, MA 01262 | 2016-07-28 |
| 1831558238 | Jeremy Mark Ridenour | Psychologist | 25 Main Street, Stockbridge, MA 01262-0962 | 2016-02-15 |
| 1861876963 | Michael Blake | Psychologist | 25 Main St., Office 322, Stockbridge, MA 01262-0962 | 2015-07-17 |
| 1578823290 | Daniel Paul Charles Knauss | Psychologist | 25 Main St, Stockbridge, MA 01262-9701 | 2012-05-29 |
| 1760752919 | Lee Damsky | Psychologist | 25 Main Street, Austen Riggs Center, Stockbridge, MA 01262-0962 | 2012-01-05 |
| 1366618720 | Jennifer L. Stevens | Psychologist | 25 Main St, #217, Stockbridge, MA 01262 | 2008-05-06 |
| 1275745952 | Donna M Elmendorf | Psychologist | 25 Main Street, Stockbridge, MA 01262-0962 | 2007-05-04 |
| 1366587511 | Elaine Virginia Demos | Psychologist | 25 Main Street, Stockbridge, MA 01262 | 2007-02-21 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on MEDLIN TREATMENT CENTER INC.
| 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.