CERETTA DAWN SHEPPARD (NPI# 1326208067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326208067 |
| Entity Type | Individual |
| Full Name | CERETTA DAWN SHEPPARD |
| Credential | LMFT |
| Practice Address |
105 Brenda Pickett Cir Plains GA 31780-0273 |
| Mailing Address |
Po Box 273 105 Brenda Pickett Cir Plains GA 31780-0273 |
| Practice Telephone | 2298245679 |
| Practice Fax Number | 2298245679 |
| Mailing Telephone | 2298245679 |
| Mailing Fax Number | 2298245679 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1085 | GA | Behavioral Health & Social Service Providers |
| Street Address |
105 BRENDA PICKETT CIR |
| City | PLAINS |
| State | GA |
| Zip Code | 31780-0273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749847 | Clinic Drug Store, Inc. | Pharmacy | 103 Main St, Plains, GA 31780 | 2017-09-13 |
| 1144407917 | Patricia Barrett Fennessy | Obstetrics & Gynecology | 107 Main St, Plains, GA 31780 | 2008-01-23 |
| 1184634420 | Betty Jo Songer | Nurse Practitioner | 107 Main St, Plains, GA 31780 | 2006-08-09 |
| 1457494007 | Clinic Drug Store | Pharmacy | 103 Main St, Plains, GA 31780-0160 | 2007-02-14 |
| 1730780859 | Jennifer Lynn Fedderick | Counselor | 459 Thrasher Rd, Plains, GA 31780-5310 | 2020-11-04 |
| 1659853588 | Shanika Price | Contractor | 1283a Salters Mill Rd, Plains, GA 31780-5318 | 2018-09-06 |
| 1801833231 | Lillian G. Carter Nursing Center LLC | Skilled Nursing Facility | 225 Hospital St, Plains, GA 31780-5544 | 2006-06-02 |
| 1003943747 | Lillian G. Carter Nursing Center LLC | Respite Care | 225 Hospital St, Plains, GA 31780-5544 | 2007-02-28 |
| 1912034745 | Lillian G. Carter Nursing Center LLC | Clinic/Center | 225 Hospital St, Plains, GA 31780-5544 | 2007-02-28 |
| 1225046998 | Careconnect Health, Inc | Clinic/Center | 107 Main Street, Plains, GA 31780-5570 | 2006-08-04 |
| Find all providers in zip 31780 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869183 | Michael Tanner | Marriage & Family Therapist | 5763 Village Loop, Fairburn, GA 30213-4641 | 2020-10-24 |
| 1316546401 | Joseph Keith Brewton | Marriage & Family Therapist | 210 Creekstone Rdg, Woodstock, GA 30188-3732 | 2020-10-20 |
| 1063010528 | Karla Schlumbrecht | Marriage & Family Therapist | 3569 Sumner Rd, Moultrie, GA 31768-0117 | 2020-10-15 |
| 1376140426 | Moandra Johnson | Marriage & Family Therapist | 2037 Weems Rd Apt 6201, Tucker, GA 30084-5263 | 2020-10-01 |
| 1649887431 | Kristi Brynt Godwin | Marriage & Family Therapist | 4457 Kenilworth Cir, Valdosta, GA 31605-8018 | 2020-09-25 |
| 1073129896 | Lotus Nest Counseling Services LLC | Marriage & Family Therapist | 906 Weathers Dr, Montezuma, GA 31063-1016 | 2020-09-17 |
| 1982217378 | Amy Wagner, LLC | Marriage & Family Therapist | 346 Kramer St, Carrollton, GA 30117-3708 | 2020-08-26 |
| 1114539491 | Sil-miracle Walker | Marriage & Family Therapist | 4210 Columbia Rd Ste 7b, Martinez, GA 30907-0439 | 2020-08-19 |
| 1285242099 | Lyons Center, LLC | Marriage & Family Therapist | 110 Kellwood Dr Ste 200a, Perry, GA 31069-3263 | 2020-07-17 |
| 1073131827 | Ilisten, LLC | Marriage & Family Therapist | 106 Danbury Ct, Pooler, GA 31322-9780 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
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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.