AMBER KICKLIGHTER EDENFIELD (NPI# 1114275724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114275724 |
| Entity Type | Individual |
| Full Name | AMBER KICKLIGHTER EDENFIELD |
| Credential | LAPC |
| Practice Address |
207 N Anderson Dr Swainsboro GA 30401-4440 |
| Mailing Address |
223 N Anderson Dr P O Box 1259 Swainsboro GA 30401-4440 |
| Practice Telephone | 4782892619 |
| Practice Fax Number | 4782892622 |
| Mailing Telephone | 4782892683 |
| Mailing Fax Number | 4782892522 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
APC003352 | GA | Behavioral Health & Social Service Providers |
| Street Address |
207 N ANDERSON DR |
| City | SWAINSBORO |
| State | GA |
| Zip Code | 30401-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255481909 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 207 N Anderson Dr, Swainsboro, GA 30401-4440 | 2007-01-12 |
| 1134640451 | Community Service Board of Middle Georgia | Clinic/Center | 207 N Anderson Dr, Swainsboro, GA 30401-4440 | 2017-06-28 |
| 1003212903 | Keith Hutcheson | Counselor | 207 N Anderson Dr, Swainsboro, GA 30401-4440 | 2014-11-05 |
| 1164577912 | Elbert F. Chambers | Counselor | 207 N Anderson Dr, Swainsboro, GA 30401-4440 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114589595 | Mandi Marion Wright | Nurse Practitioner | 117 Kight Road, Swainsboro, GA 30401 | 2019-07-05 |
| 1043767544 | Kathy Flakes | Licensed Practical Nurse | 223 N Anderson Drive, Swainsboro, GA 30401 | 2016-09-01 |
| 1023326220 | Family Podiatry Center PC | Podiatrist | 125a Victory Dr, Swainsboro, GA 30401 | 2010-09-22 |
| 1548578123 | United Rehab Inc | Clinic/Center | 856 U S Highway 1 South, Swainsboro, GA 30401 | 2010-09-17 |
| 1386967305 | William Donald Wages Jr. | Physical Therapy Assistant | 114 Victory Drive, Swainsboro, GA 30401 | 2010-03-04 |
| 1487989885 | Jimmy H Maddox | Nurse Practitioner | 117 Kite Road, Swainsboro, GA 30401 | 2009-10-02 |
| 1649319997 | Swainsboro Healthcare PC | Family Medicine | 305 Kite Road, Swainsboro, GA 30401 | 2007-02-05 |
| 1922153543 | Joyce Dianne Spence | Registered Nurse | 223 Anderson Dr N, Swainsboro, GA 30401 | 2007-01-24 |
| 1942355565 | Lucille Sapp | Registered Nurse | 223 N. Anderson Drive, Swainsboro, GA 30401 | 2007-01-24 |
| 1366592388 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 1007 Highway 56 South, Swainsboro, GA 30401 | 2007-01-11 |
| Find all providers in zip 30401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831220698 | Amanda Mcnure | Counselor | 355 S Coleman St, Swainsboro, GA 30401-3610 | 2007-03-07 |
| 1376082800 | Dehia Graham | Counselor | 105 Warren Ave, Swainsboro, GA 30401-3645 | 2017-02-16 |
| 1366851750 | Jean Morris | Counselor | 223 N Anderson Dr, Swainsboro, GA 30401-4440 | 2014-08-11 |
| 1538333000 | Victoria Toy Richbourg | Counselor | 223 N Anderson Dr, Swainsboro, GA 30401-4440 | 2008-04-16 |
| 1750436366 | Mary Margaret Schenk | Counselor | 223 N. Anderson Drive, Swainsboro, GA 30401 | 2007-01-24 |
| 1861545394 | Joseph Dan Barnard | Counselor | 223 North Anderson Drive, Swainsboro, GA 30401-1259 | 2007-01-19 |
| 1083667125 | Shawna Marie Harlin-clifton | Counselor | 243 W Main St, Swainsboro, GA 30401-3163 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1780284513 | Hogue Counseling and Consulting Services, LLC | Counselor | 7861 Waterlace Dr, Fairburn, GA 30213-4648 | 2020-10-30 |
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | SWAINSBORO |
| Zip Code | 30401 |
Please comment or provide details below to improve the information on AMBER KICKLIGHTER EDENFIELD.
| 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.