TANYA ELLIS-ASBURY (NPI# 1134666480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134666480 |
Entity Type | Individual |
Full Name | TANYA ELLIS-ASBURY |
Credential | LPC |
Practice Address |
3710 Executive Center Dr Ste B Martinez GA 30907-0957 |
Mailing Address |
3710 Executive Center Dr Ste. B Martinez GA 30907-3117 |
Practice Telephone | 7068145329 |
Practice Fax Number | 7068145339 |
Mailing Telephone | 7062500613 |
Enumeration Date | 2017-01-25 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC008963 | GA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
618 Ponder Place Dr, Ste. 2, Evans, GA 308093117 | 7068258491 | 7065500340 |
Street Address |
3710 EXECUTIVE CENTER DR STE B |
City | MARTINEZ |
State | GA |
Zip Code | 30907-0957 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
Find all providers in zip 30907 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285290312 | Jessica Stringfield Edwards | Counselor | 4210 Columbia Rd Ste 1d, Martinez, GA 30907-0436 | 2019-05-14 |
1083166417 | Donna Still | Counselor | 4434 Columbia Rd, Ste 203, Martinez, GA 30907-4556 | 2016-11-02 |
1588019533 | Child Neuro Health and Wellness Center | Counselor | 307 Baston Road, Martinez, GA 30907 | 2016-04-27 |
1457721201 | Sharlene Speights | Counselor | 191 Vista Way, Martinez, CA 94553-4051 | 2015-10-05 |
1205231628 | Jelani Johnson-briscoe | Counselor | 300 Ilene St., Martinez, CA 94553 | 2014-10-28 |
1487073052 | Victoria Clark | Counselor | 1319 Brown St, Martinez, CA 94553-1924 | 2014-04-10 |
1821343872 | Second Nature Behavioral Health Services, Inc. | Counselor | 307 Oakwood Cir, Martinez, CA 94553-3565 | 2012-07-16 |
1104114198 | Leslie Johnson Owen | Counselor | 3711 Executive Center Dr., Suite 101, Martinez, GA 30907 | 2011-07-12 |
1548594724 | Tanya Nicole Lorenzi | Counselor | 3925 Roberts Rd, Martinez, GA 30907-2546 | 2009-09-22 |
1396987020 | Nicole Ladner-pace | Counselor | 30 Douglas Dr # 234, Martinez, CA 94553-4068 | 2009-03-26 |
Find all providers in MARTINEZ |
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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.