MS. MARIA C COUGHENOUR (NPI# 1164502811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164502811 |
| Entity Type | Individual |
| Full Name | MS. MARIA C COUGHENOUR |
| Credential | LPC |
| Practice Address |
106 Shoppers Way Ste 115 Brunswick GA 31525-0522 |
| Practice Telephone | 9122657660 |
| Practice Fax Number | 9122657858 |
| Mailing Telephone | 9122657660 |
| Mailing Fax Number | 9122657858 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC003217 | GA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
3585 | NC | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
232032 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 691501868A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3806 Park Ave, Wilmington, NC 284036738 | 9103503053 |
| Street Address |
106 SHOPPERS WAY STE 115 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31525-0522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457494130 | Robert E Holland | Psychiatry & Neurology | 106 Shoppers Way Ste 115, Brunswick, GA 31525-0522 | 2007-02-14 |
| 1407913247 | John Bryce Mclaulin | Psychiatry & Neurology | 106 Shoppers Way Ste 115, Brunswick, GA 31525-0522 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
| 1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
| 1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
| 1831545508 | Heller Family Medicine, LLC | General Practice | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2016-05-11 |
| 1437525391 | Natisha Danielle Hill | Occupational Therapy Assistant | 138 Wingefield Commons Drive, Brunswick, GA 31525 | 2015-08-14 |
| 1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| 1194914275 | Dialysis of Golden Isles, LLC | Clinic/Center | 475 Gateway Center Blvd, Brunswick, GA 31525 | 2007-10-15 |
| 1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
| 1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
| Find all providers in zip 31525 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550250 | Kristen A Duran | Counselor | 127 F St Ste 202, Brunswick, GA 31520-6788 | 2019-10-21 |
| 1295256014 | Louanne M Robinson | Counselor | 37 Mill St Ste 8, Brunswick, ME 04011-1914 | 2017-07-01 |
| 1831627728 | Danielle Buccini | Counselor | 3487 Center Rd Ste 7c, Brunswick, OH 44212-3686 | 2017-05-23 |
| 1154858124 | Jennifer Mary Zak | Counselor | 664 Scranton Rd Ste 201, Brunswick, GA 31520-1947 | 2017-05-22 |
| 1447790498 | Julia B Waltman | Counselor | 169 Park Row Ste 8, Brunswick, ME 04011-2039 | 2017-02-24 |
| 1689110249 | Carrie Ligon | Counselor | 502 Gloucester St Ste 204, Brunswick, GA 31520-7092 | 2017-01-06 |
| 1053854521 | Mary Barnes | Counselor | 14 Saint Andrews Ct, Brunswick, GA 31520-6777 | 2016-11-30 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1043604671 | Stephanie Mayer | Counselor | 3110 Parkwood Dr, Brunswick, GA 31520-4735 | 2015-03-20 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| Find all providers in BRUNSWICK | ||||
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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.