THE EDNA BROOKS FOUNDATION, INC. (NPI# 1154357721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154357721 |
| Entity Type | Organization |
| Organization Name | THE EDNA BROOKS FOUNDATION, INC. |
| Other Organization Name | MY SISTER'S PLACE |
| Practice Address |
142 E State St Athens OH 45701-1746 |
| Mailing Address |
Po Box 1158 Athens OH 45701-1158 |
| Practice Telephone | 7405937125 |
| Practice Fax Number | 7405947122 |
| Mailing Telephone | 7405937125 |
| Mailing Fax Number | 7405947122 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | KELLY COOKE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7405937125 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0003 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 10167 | 05 |
| Other Name | Type Code |
|---|---|
| My Sister's Place | Doing Business As Name - Organization |
| Street Address |
142 E STATE ST |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-1746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851959696 | Madeleine M Stevens | Counselor | 142 E State St, Athens, OH 45701-1746 | 2019-06-05 |
| 1720576424 | Allison Ann Sewolich | Community/Behavioral Health | 142 E State St, Athens, OH 45701-1746 | 2018-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154841989 | Advantage Behavioral Health Systems | Clinic/Center | 130 Mill Center Blvd, Athens, GA 30606 | 2017-06-22 |
| 1912072372 | Advantage Bhs | Clinic/Center | 115 Berlin St, Athens, GA 30601-2267 | 2006-11-21 |
| 1417560335 | Chrysalis Health and Wellness | Clinic/Center | 1005 E State St Ste E, Athens, OH 45701-2151 | 2020-08-29 |
| 1588287213 | Jennifer Boone, Lcsw LLC | Clinic/Center | 1 Huntington Rd Ste 703, Athens, GA 30606-7214 | 2020-05-28 |
| 1215585344 | Bright Awakenings Counseling, LLC | Clinic/Center | 1 Huntington Rd Ste 101, Athens, GA 30606-7205 | 2019-09-02 |
| 1619440351 | Love Without Walls Adult Care | Clinic/Center | 111 Park St, Athens, TN 37303-4255 | 2019-01-05 |
| 1356840250 | Leslie Holliday Ring, LLC | Clinic/Center | 337 S Milledge Ave Ste 210, Athens, GA 30605-5664 | 2018-02-06 |
| 1114439239 | Hopewell Health Centers Inc | Clinic/Center | 141 Columbus Rd, Athens, OH 45701-1315 | 2017-10-30 |
| 1225579758 | Advantage Behavioral Health Systems | Clinic/Center | 240 Mitchell Bridge Rd, Athens, GA 30606 | 2017-03-16 |
| 1669820148 | Lindsey Darr | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2016-05-25 |
| Find all providers in ATHENS | ||||
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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.