BETHANY LOWE RYAN (NPI# 1336643451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336643451 |
| Entity Type | Individual |
| Full Name | BETHANY LOWE RYAN |
| Practice Address |
2109 Fairburn Rd Douglasville GA 30135-1037 |
| Practice Telephone | 7707267958 |
| Practice Fax Number | 7706930829 |
| Mailing Telephone | 7707267958 |
| Mailing Fax Number | 7706930829 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
GA | Behavioral Health & Social Service Providers |
| Street Address |
2109 FAIRBURN RD |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093251167 | Emily Ann Brumfield | Registered Nurse | 2109 Fairburn Rd, Ste A, Douglasville, GA 30135-1037 | 2017-01-13 |
| 1952934168 | Sherri Vernell Wilson | Counselor | 2109 Fairburn Rd, Douglasville, GA 30135-1037 | 2020-02-17 |
| 1376189431 | Mark David Lafond | Counselor | 2109 Fairburn Rd, Douglasville, GA 30135-1037 | 2019-11-25 |
| 1467097592 | Amber Edwina Reid | Licensed Practical Nurse | 2109 Fairburn Rd, Douglasville, GA 30135-1037 | 2019-11-13 |
| 1073168969 | Ruth Fitzgerad | Counselor | 2109 Fairburn Rd, Douglasville, GA 30135-1037 | 2019-08-07 |
| 1972007987 | Norman Garfield Sampson | Counselor | 2109 Fairburn Rd, Douglasville, GA 30135-1037 | 2018-03-23 |
| 1104320134 | Kim Palombo | Counselor | 2109 Fairburn Rd, Douglasville, GA 30135-1037 | 2018-03-23 |
| 1235675042 | Gabrielle Marie Burholt | Counselor | 2109 Fairburn Rd, Suite A, Douglasville, GA 30135-1037 | 2017-01-18 |
| 1588100499 | Dianna Williams | Licensed Practical Nurse | 2109 Fairburn Rd, Suite A, Douglasville, GA 30135-1037 | 2017-01-17 |
| 1831635994 | Lace Harrison | Counselor | 2109 Fairburn Rd, Suite A, Douglasville, GA 30135-1037 | 2017-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337539 | Brittany Mccaleb | Counselor | 12461 Veterans Memorial Hwy Ste 575, Douglasville, GA 30134-2025 | 2020-02-11 |
| 1720561194 | Dove Long | Counselor | 2109 Fairburn Rd # A, Douglasville, GA 30135-1037 | 2018-09-12 |
| 1659552651 | Antoinette Gooden | Counselor | 6000 Stewart Parkway, #6777, Douglasville, GA 30135-6777 | 2007-11-18 |
| 1376168302 | Shahagony Banks | Counselor | 2109 Fairburn Rd Ste A, Douglasville, GA 30135-1037 | 2020-06-16 |
| 1073137394 | Justin Murray | Counselor | 8335 Office Park Dr, Douglasville, GA 30134-6937 | 2020-06-02 |
| 1184250854 | Cheryll Sue Gaver | Counselor | 5833 Stewart Pkwy Ste 103, Douglasville, GA 30135-6933 | 2020-03-13 |
| 1952934168 | Sherri Vernell Wilson | Counselor | 2109 Fairburn Rd, Douglasville, GA 30135-1037 | 2020-02-17 |
| 1134759491 | Rebekah M Reynolds | Counselor | 5833 Stewart Pkwy Ste 103, Douglasville, GA 30135-6933 | 2020-01-24 |
| 1376189431 | Mark David Lafond | Counselor | 2109 Fairburn Rd, Douglasville, GA 30135-1037 | 2019-11-25 |
| 1073168969 | Ruth Fitzgerad | Counselor | 2109 Fairburn Rd, Douglasville, GA 30135-1037 | 2019-08-07 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
Please comment or provide details below to improve the information on BETHANY LOWE RYAN.
| 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.