MS. MARY CALLAWAY LOGAN (NPI# 1245440254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245440254 |
| Entity Type | Individual |
| Full Name | MS. MARY CALLAWAY LOGAN |
| Credential | LPC, M.DIV., FELLOW |
| Practice Address |
1200 Ponce De Leon Ave Ne Atlanta GA 30306-4602 |
| Practice Telephone | 4049316395 |
| Mailing Telephone | 4049316395 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
000758 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSED PROFESSIONAL COU | 000758 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457689226 | Mary Alexandra Logan | Doula | 1822 E 32nd St, Vancouver, WA 98663-2976 | 2009-12-06 |
| 1720223951 | Mary C Logan | Occupational Therapist | 49 Fenimore Ave, Garden City, NY 11530-1027 | 2008-12-02 |
| 1962917245 | Mary Elizabeth Logan | Nurse Practitioner | 635 Maple Ave, Du Bois, PA 15801-2376 | 2017-12-07 |
| 1063958064 | Mary Logan | Counselor | 255 Delaware Ave, Suite 300, Buffalo, NY 14202-2016 | 2017-01-13 |
| 1235576810 | Mary Kathryn Logan | Nurse Practitioner | 316 Calhoun St, Charleston, SC 29401-1113 | 2013-05-23 |
| 1942517750 | Mary Ellen Logan | Registered Nurse | 109 Elm St, Scituate, MA 02066-4034 | 2010-09-01 |
| 1356578876 | Mary Ann Logan | Marriage & Family Therapist | 2500 Hospital Dr, Building 3, Mountain View, CA 94040-4106 | 2009-06-11 |
| 1013152982 | Mary K Logan | Counselor | 15 Union St, 2nd Floor, Lawrence, MA 01840-1866 | 2008-12-08 |
| 1447472881 | Mary Elizabeth Logan | Pharmacy Technician | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-05-03 |
| 1225021918 | Mary Street Logan | Anesthesiology | 801 W Gordon St, Thomaston, GA 30286-3426 | 2005-08-26 |
| Street Address |
1200 PONCE DE LEON AVE NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30306-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750900858 | Jill Driver | Chiropractor | 1390 Lanier Blvd Ne, 1409-a, Atlanta, GA 30306 | 2020-04-09 |
| 1447737697 | Heather Nicole Vansau | Speech-Language Pathologist | 1272 Stillwood Dr Ne, Atlanta, GA 30306 | 2018-07-20 |
| 1871095919 | Michelle Ruth Orovitz | Nurse Practitioner | 1140 Briarcliff Rd Ne Apt 1, Atlanta, GA 30306 | 2018-03-05 |
| 1497261960 | Rockwell Oral and Facial Surgery LLC | Dentist | 675 N. Highland Ave Ne, Suite 100, Atlanta, GA 30306 | 2017-12-20 |
| 1518414101 | David Alan Sturgess Jr. | Counselor | 696 Courtenay Dr, Ne, Atlanta, GA 30306 | 2016-09-01 |
| 1952778565 | Kristen Jugs | Speech-Language Pathologist | 609 Virginia Ave Ne Apt 4108, None, Atlanta, GA 30306 | 2015-08-31 |
| 1962749655 | Robert B Tersak | Pharmacist | 1001 Ponce De Leon Avenue Ne, Atlanta, GA 30306 | 2013-01-15 |
| 1730434812 | Poonam Bhakta Hurley | Physical Therapist | 842 N Highland Ave Ne Ste Ter, Atlanta, GA 30306 | 2012-07-16 |
| 1609158963 | Centers for Disease Control and Prevention, Us Public Health Service | Public Health or Welfare | 1600 Clifton Rd, Ms E46, Atlanta, GA 30306 | 2011-09-13 |
| 1598045965 | April Kooy | Physician Assistant | 1000 Briarcliff Road Ne, Atlanta, GA 30306 | 2011-08-17 |
| Find all providers in zip 30306 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700387776 | Nancy Louise Long | Counselor | 360 Peachtree St Ne, Atlanta, GA 30308-3235 | 2018-02-26 |
| 1356793160 | Johnnie B. Porter | Counselor | 4751 Best Rd Ste 400e, Atlanta, GA 30337-5609 | 2016-07-05 |
| 1235535253 | Reginald Lamar Wells | Counselor | 148 Glenwood Ave Se, Atlanta, GA 30312-2900 | 2014-11-18 |
| 1669782876 | Got Help LLC | Counselor | 2700 Cumberland Pkwy, Suite#120, Atlanta, GA 30339 | 2010-10-21 |
| 1215176920 | Susan Mcclure Browner | Counselor | 405 Golfview Rd Nw, Atlanta, GA 30309-1214 | 2009-02-19 |
| 1245382779 | Eloise Hally | Counselor | 16a Lenox Pointe Ne, Atlanta, GA 30324 | 2007-01-17 |
| 1336116375 | Bruce E Atkinson | Counselor | 1830 Water Pl Se, Atlanta, GA 30339-7407 | 2006-03-08 |
| 1508272402 | Selena Coleman-carson | Counselor | 250 Georgia Ave Se, Atlanta, GA 30312-3046 | 2014-07-11 |
| 1093064800 | Patricia Binns Farinola | Counselor | 5825 Glenridge Dr Ne, Building 3, Suite 101, Atlanta, GA 30328-5387 | 2012-09-07 |
| 1851509954 | Richard Bondi Phd Inc | Counselor | 1790 Lavista Rd Ne, Atlanta, GA 30329-3604 | 2007-05-20 |
| Find all providers in ATLANTA | ||||
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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.