MS. ELLYN LAURA GOLDSTEIN (NPI# 1154445252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154445252 |
| Entity Type | Individual |
| Full Name | MS. ELLYN LAURA GOLDSTEIN |
| Credential | LCSW |
| Practice Address |
1260 Concord Rd Se Suite 102 Smyrna GA 30080-5306 |
| Practice Telephone | 7704341878 |
| Practice Fax Number | 7704345009 |
| Mailing Telephone | 7704341878 |
| Mailing Fax Number | 7704345009 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
GA. LCSW 0930 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063532935 | Ellyn S. Goldstein | Marriage & Family Therapist | 1337 E Thousand Oaks Blvd, Suite #116, Thousand Oaks, CA 91362-2827 | 2007-04-02 |
| Street Address |
1260 CONCORD RD SE SUITE 102 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-5306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699727396 | Susan Lasher | Social Worker | 1260 Concord Rd Se, Suite 105, Smyrna, GA 30080-5306 | 2006-05-17 |
| 1700338175 | The Bridge Counseling Center, LLC | Counselor | 1260 Concord Rd Se, Suite 205, Smyrna, GA 30080-5306 | 2016-11-01 |
| 1568896009 | Marsha Shewanown | Social Worker | 1260 Concord Rd Se, Suite 201, Smyrna, GA 30080-5306 | 2013-08-31 |
| 1871841759 | Victoria Kleinz Speer | Counselor | 1260 Concord Rd Se, Smyrna, GA 30080-5306 | 2012-08-27 |
| 1326308388 | Gloria 'amanda' Eskridge | Counselor | 1260 Concord Rd Se, Suite 205, Smyrna, GA 30080-5306 | 2012-05-24 |
| 1417107319 | Linda Winship, Lcsw, Inc. | Social Worker | 1260 Concord Rd Se, Suite 201, Smyrna, GA 30080-5306 | 2008-09-26 |
| 1891991949 | Bruce Albert | Social Worker | 1260 Concord Rd Se, Suite 201, Smyrna, GA 30080-5306 | 2007-06-25 |
| 1447376116 | Merrilee L. Stewart | Social Worker | 1260 Concord Rd Se, Ste 101, Smyrna, GA 30080-5306 | 2007-03-22 |
| 1588790752 | Rosalind J. Nation | Social Worker | 1260 Concord Rd Se, Suite 103, Smyrna, GA 30080-5306 | 2007-02-24 |
| 1063577427 | Sharon Heidanus Cook | Social Worker | 1260 Concord Rd Se, Suite 202, Smyrna, GA 30080-5306 | 2006-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576865 | Therapy Pond, LLC | Counselor | 1262 Concord Rd Se Ste 200, Smyrna, GA 30080-5307 | 2020-10-20 |
| 1316576598 | Victoria Counseling & Consulting, LLC | Counselor | 3059 S Cobb Dr Se, Smyrna, GA 30080-7809 | 2020-04-08 |
| 1932735495 | Thomas W Jones IIi | Counselor | 5182 Afton Way Se, Smyrna, GA 30080-2669 | 2020-03-17 |
| 1326508078 | Davonna Ashley Scott | Counselor | 1402 Vinings Trl Se, Smyrna, GA 30080-8642 | 2019-03-20 |
| 1003386400 | Jarrod Keith Harris | Counselor | 5199 Whiteoak Ave Se, Smyrna, GA 30080-7424 | 2018-11-28 |
| 1285101196 | Jennifer Allen | Counselor | 3010 Denny Brooke Ln, Smyrna, TN 37167-3968 | 2018-10-29 |
| 1154809192 | Gloria Jean Fisher | Counselor | 2722 Cottesford Dr Se, Smyrna, GA 30080-2188 | 2018-08-01 |
| 1851877369 | Robyn N Minefee | Counselor | 2642 Davenport St Se, Smyrna, GA 30080-2303 | 2018-07-17 |
| 1326537051 | Fatimah N Muhammad | Counselor | 2067 Lake Park Dr Se Apt G, Smyrna, GA 30080-7628 | 2018-05-08 |
| 1316443237 | Ashley L Heggins | Counselor | 5056 Laurel Bridge Dr Se, Smyrna, GA 30082-4833 | 2018-03-30 |
| Find all providers in SMYRNA | ||||
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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.