CHARLEKA KELLEY (NPI# 1124560834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124560834 |
| Entity Type | Individual |
| Full Name | CHARLEKA KELLEY |
| Credential | LMSW |
| Practice Address |
301 Country Club Dr Stockbridge GA 30281-7350 |
| Practice Telephone | 6787823379 |
| Mailing Telephone | 6787823379 |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | MSW005748 | GA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MSW005748 | GA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MSW005748 | GA | Behavioral Health & Social Service Providers |
| Street Address |
301 COUNTRY CLUB DR |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-7350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033680087 | Benita Campbell | Counselor | 301 Country Club Dr, Stockbridge, GA 30281-7350 | 2018-12-16 |
| 1609366400 | Nathaneal A Maddox | Social Worker | 301 Country Club Dr, Stockbridge, GA 30281-7350 | 2018-05-16 |
| 1568951002 | Julie K Whitdford | Counselor | 301 Country Club Dr, Stockbridge, GA 30281-7350 | 2018-05-09 |
| 1033608641 | Mireille Tercier Mackey | Counselor | 301 Country Club Dr, Stockbridge, GA 30281-7350 | 2018-05-09 |
| 1962935890 | Ruffina David | Psychologist | 301 Country Club Dr, Stockbridge, GA 30281-7350 | 2017-04-07 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1477177061 | Sharika Zellars | Counselor | 120 Brookfield Dr, Stockbridge, GA 30281-1555 | 2020-05-30 |
| 1326662040 | Aiyana Marie Marshall | Counselor | 356 Avian Forest Dr, Stockbridge, GA 30281-7269 | 2020-05-29 |
| 1306470406 | David Smith | Counselor | 556 Harvick Cir, Stockbridge, GA 30281-4460 | 2020-02-27 |
| 1710465463 | Kristina Nemard | Counselor | 245 Country Club Dr Bldg 100a, Stockbridge, GA 30281-7216 | 2018-08-04 |
| 1669962486 | Rasaq Sarumi | Counselor | 420 Avian Forest Dr, Stockbridge, GA 30281 | 2018-05-17 |
| 1710487384 | Eugenia Awkele Lartey-attigah | Counselor | 950 Eagles Landing Parkway, 445, Stockbridge, GA 30281 | 2018-02-20 |
| 1467963322 | Silver Lining Health and Wellness Services, LLC. | Counselor | 1464 Buckingham Pl, Stockbridge, GA 30281-7953 | 2017-10-18 |
| 1871959601 | Ronald Bivens | Counselor | 611 Eastwood Village Dr, Stockbridge, GA 30281-7757 | 2016-01-08 |
| 1861861999 | Juanavia Calhoun | Counselor | 140 Misty Ridge Trl, Stockbridge, GA 30281-7642 | 2015-09-18 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on CHARLEKA KELLEY.
| 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.