CASSAUNDRA LINETTE GOVAN (NPI# 1114273232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114273232 |
| Entity Type | Individual |
| Full Name | CASSAUNDRA LINETTE GOVAN |
| Other Name | CASSAUNDRA LINETTE GOVAN |
| Credential | LPC |
| Practice Address |
913 Main St Suite H Stone Mountain GA 30083-3096 |
| Practice Telephone | 6786851374 |
| Mailing Telephone | 6786851374 |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2014-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC006231 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00313788A | 05 | |
| GA | CAQH | 12471700 | 01 |
| Street Address |
913 MAIN ST SUITE H |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003225640 | Epic Consulting Services, LLC | Community/Behavioral Health | 913 Main St, Suite F, Stone Mountain, GA 30083-3096 | 2014-08-07 |
| 1649681545 | Rashida W Brown | Psychologist | 913 Main St, Ste H, Stone Mountain, GA 30083-3096 | 2014-05-13 |
| 1083889877 | Asiyah Daanya Muhsin-thomas | Licensed Practical Nurse | 913 Main St, Suite K, Stone Mountain, GA 30083-3096 | 2008-04-23 |
| 1891865317 | Monique F Gray | Psychologist | 913 Main St, Suite H, Stone Mountain, GA 30083-3096 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| 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 |
|---|---|---|---|---|
| 1871941203 | Sharron Bankhead | Counselor | 5066 Fieldgreen Xing, Stone Mountain, GA 30088-3103 | 2016-05-26 |
| 1649630385 | Candace Brooke Starks | Counselor | 5280 Woodland Pass Cir, Stone Mountain, GA 30087-2223 | 2016-02-23 |
| 1912371022 | Tombari Sigalo | Counselor | 5428 Fieldgreen Dr, Stone Mountain, GA 30088-2814 | 2015-12-01 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1225448558 | Terri Harp | Counselor | 1066 Autumn Crest Dr, Stone Mountain, GA 30083-5153 | 2014-05-08 |
| 1255686390 | Latanga Montgomery | Counselor | 639 Post Road Dr, Suite 1a, Stone Mountain, GA 30088-2226 | 2012-07-16 |
| 1609005198 | Precious A Brannon | Counselor | 3918 Dunaire Dr, Stone Mountain, GA 30083-4400 | 2009-07-07 |
| 1255529582 | Ford Family Service, Inc. | Counselor | 1305 Panola Rd, Stone Mountain, GA 30088-3303 | 2007-10-11 |
| 1831240290 | Care & Counseling Center of Georgia | Counselor | 5901 Hugh Howell Rd, Stone Mountain, GA 30087-2402 | 2007-01-14 |
| 1821641382 | Southeast Arts Association | Counselor | 477 Village Square Ct, Stone Mountain, GA 30083-4274 | 2019-07-23 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on CASSAUNDRA LINETTE GOVAN.
| 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.