MR. BRUCE EVERETT OBRENTZ (NPI# 1235487729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235487729 |
| Entity Type | Individual |
| Full Name | MR. BRUCE EVERETT OBRENTZ |
| Credential | MA, ICAADC |
| Practice Address |
3995 S Cobb Dr Se Smyrna GA 30080-6342 |
| Mailing Address |
3027 Riverstone Trl Atlanta GA 30339-8450 |
| Practice Telephone | 6787797923 |
| Mailing Telephone | 6787797923 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
EXEMPT | GA | Behavioral Health & Social Service Providers |
| Street Address |
3995 S COBB DR SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-6342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242682 | Ridgeview Institute,inc | Rehabilitation Hospital | 3995 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2005-06-01 |
| 1578036653 | Gila Herman | Registered Nurse | 3995 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2019-01-10 |
| 1942793773 | Olufunke Adewunmi | Nurse Practitioner | 3995 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2018-06-06 |
| 1982112918 | Medical Service Associates LLC | Family Medicine | 3995 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2018-01-11 |
| 1326551599 | Alicia V Anderson | Registered Nurse | 3995 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2017-11-09 |
| 1427508761 | Rv Behavioral, LLC | Psychiatric Hospital | 3995 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2016-10-11 |
| 1598044372 | Amber Marie Beals | Social Worker | 3995 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2011-08-10 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346770864 | Brenda Lewis | Counselor | 4577 Valley Pkwy Se, Apt P, Smyrna, GA 30082-3008 | 2017-06-18 |
| 1508394842 | Adam B Center | Counselor | 100 Sunnyside Rd Bldg 1, Smyrna, DE 19977-1752 | 2017-05-31 |
| 1639585367 | Candace A Glaviano | Counselor | 107 Apoorva Ln, Smyrna, DE 19977-4810 | 2014-07-02 |
| 1366707937 | Michele Alexander Bowdoin | Counselor | 405 Smyrna Square Dr, Smyrna, TN 37167-3000 | 2012-07-10 |
| 1881900330 | Michael C Gordon Md LLC | Counselor | 4015 S Cobb Dr Se Ste 275, Smyrna, GA 30080-6357 | 2010-08-22 |
| 1215243811 | Arneice A Ritchie | Counselor | 639 Widener Ln, Smyrna, DE 19977-1761 | 2010-08-20 |
| 1114171691 | Terrence K Pierce | Counselor | 4015 S Cobb Dr Se Ste 220, Smyrna, GA 30080-6316 | 2008-11-10 |
| 1508038571 | Lois Ann Dutton | Counselor | 2605 Bridlewood Ln Se, Smyrna, GA 30080-7376 | 2008-03-30 |
| 1861553059 | Cynthia Wynn | Counselor | 1246 Concord Rd Se Ste A204, Smyrna, GA 30080-4374 | 2006-12-12 |
| 1013006584 | Tommie M Richardson | Counselor | 4015 S Cobb Dr, #115, Smyrna, GA 30080 | 2006-10-12 |
| Find all providers in SMYRNA | ||||
Please comment or provide details below to improve the information on MR. BRUCE EVERETT OBRENTZ.
| 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.