MS. RICHARNE FUQUA (NPI# 1194015719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194015719 |
| Entity Type | Individual |
| Full Name | MS. RICHARNE FUQUA |
| Credential | L.P.C. |
| Practice Address |
8201 Hazelbrand Rd Ne Covington GA 30014-1510 |
| Mailing Address |
175 Gwinnett Dr Lawrenceville GA 30046-8444 |
| Practice Telephone | 6782062601 |
| Mailing Telephone | 6782092411 |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6401008973 | MI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401008973 | MI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
6401008973 | MI | Behavioral Health & Social Service Providers |
| Street Address |
8201 HAZELBRAND RD NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427145861 | Terry Garner Wright | Social Worker | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 | 2006-10-06 |
| 1457916868 | Erica Spear | Registered Nurse | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 | 2019-05-01 |
| 1265900708 | Frances Findley | Counselor | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 | 2018-11-02 |
| 1841694890 | Syreeta Steele | Registered Nurse | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 | 2014-10-20 |
| 1831525146 | Jennifer Anne Cortez | Case Manager/Care Coordinator | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 | 2013-09-18 |
| 1114217031 | Phebee Vun Henderson | Social Worker | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 | 2011-04-12 |
| 1396043337 | Grn Community Service Board | Community/Behavioral Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 | 2011-02-28 |
| 1548406689 | Verna Williams | Social Worker | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 | 2008-12-19 |
| 1063664068 | Stephanie E. Moultrie | Social Worker | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 | 2008-10-21 |
| 1396878609 | Linda Goddard | Counselor | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036996 | Anna Cunningham Ingram | Counselor | 65 Savannah Circle, Covington, Covington, GA 30016-3001 | 2020-02-28 |
| 1003451485 | Cindy Brown Counseling LLC | Counselor | 208 S Tyler St Ste B, Covington, LA 70433-3036 | 2019-11-09 |
| 1467003632 | Kyuante Jenkins | Counselor | 8302 N Sterling Lakes Dr, Covington, GA 30014-3760 | 2019-09-27 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1477015097 | Josh and Laurel Weed LLC | Counselor | 25430 157th Ave Se, Covington, WA 98042-4173 | 2019-04-02 |
| 1114498805 | Salima Hines | Counselor | 325 Lakeside Pt, Covington, GA 30016-0951 | 2018-12-06 |
| 1124504816 | Jennifer C Day | Counselor | 522 N New Hampshire St Ste 8, Covington, LA 70433-2843 | 2018-07-16 |
| 1801303375 | Earniesha Sherell Lott | Counselor | 607 E Boston St, Covington, LA 70433-2900 | 2018-01-05 |
| 1902310105 | Donna M Evans | Counselor | 71231 Cedar Dr, Covington, LA 70433-6902 | 2017-11-27 |
| 1700390234 | Joshua Scott Hallila | Counselor | 67140 Industry Ln, Covington, LA 70433-8702 | 2017-11-20 |
| Find all providers in COVINGTON | ||||
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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.