MRS. PAULA L. CHRISTIAN-STALLWORTH


Address: 343 Salem Gate Drive Se, Suite 101, Conyers, GA 30013-1783
Phone: 7709291470

MRS. PAULA L. CHRISTIAN-STALLWORTH (NPI# 1144528787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144528787
Entity Type Individual
Full Name MRS. PAULA L. CHRISTIAN-STALLWORTH
Credential LPC,CADC II,CCDP-D
Practice Address 343 Salem Gate Drive Se
Suite 101
Conyers
GA 30013-1783
Practice Telephone 7709291470
Practice Fax Number 7709291425
Mailing Telephone 7709291470
Mailing Fax Number 7709291425
Enumeration Date 2011-03-07
Last Update Date 2015-03-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor CDP0009 GA Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst CADCII 497 GA Behavioral Health & Social Service Providers

Office Location

Street Address 343 SALEM GATE DRIVE SE
SUITE 101
City CONYERS
State GA
Zip Code 30013-1783

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1043735244 Niki Tanyell Davis Licensed Practical Nurse 1403 Windy Hill Court, Conyers, GA 30013 2017-08-08
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871131813 Ravik Foundation Inc. Counselor 1343 Business Center Dr Sw Ste B, Conyers, GA 30094-6609 2019-12-19
1033672191 Dandrea R Sanders Counselor 1780b Southgate Ln Se, Conyers, GA 30013-2337 2019-04-07
1558879528 Elva F Sajna Counselor 1407 Chelsea Downs Ln Ne, Conyers, GA 30013-5711 2018-01-12
1043660251 Debra Lavette Hanson Counselor 3204 Quincey Xing, Conyers, GA 30013-6385 2016-06-18
1669847331 Karen Williams Counselor 1414 Fall River Dr, Conyers, GA 30013-2992 2015-12-07
1821498809 Miranda L. Fallen-bobo Counselor 1620 Sugar Plum Dr Sw, Conyers, GA 30094-6805 2014-08-27
1386081073 Lashay Taylor Counselor 754 Shoreline Trl Se, Conyers, GA 30094-2650 2013-06-04
1932468733 Leslie Anne Styles Counselor 970 North Milstead Ave, Conyers, GA 30012 2012-05-14
1053638668 Aliyah Kindell Counselor 2047 Gees Mill Rd Ne Ste 222, Conyers, GA 30013-1361 2010-04-23
1457520660 Mtbm Global Rehabilitation Counselor 2890a Ga Hwy 212, Suite 239, Conyers, GA 30094 2008-02-22
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Competitor

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City CONYERS
Zip Code 30013

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Dataset Information

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.

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