DR. SHOSHANA DAYANIM AGICHTEIN


Address: 1380 Jody Ln Ne, Atlanta, GA 30329-3522
Phone: 4045205159

DR. SHOSHANA DAYANIM AGICHTEIN (NPI# 1356940712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356940712
Entity Type Individual
Full Name DR. SHOSHANA DAYANIM AGICHTEIN
Practice Address 1380 Jody Ln Ne
Atlanta
GA 30329-3522
Practice Telephone 4045205159
Mailing Telephone 4045205159
Enumeration Date 2020-10-18
Last Update Date 2020-10-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC010881 GA Behavioral Health & Social Service Providers

Office Location

Street Address 1380 JODY LN NE
City ATLANTA
State GA
Zip Code 30329-3522

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1871084111 Inner Peace Counseling Services,llc Counselor 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 2018-05-22
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1114449048 Cricket Cheyenne Gullickson Student in an Organized Health Care Education/Training Program 1371 Briarvista Way Ne, Atlanta, GA 30329 2017-07-12
1902357866 Carla Zimmerly Nurse Practitioner 1711 Tullie Circle, Atlanta, GA 30329 2016-10-17
1316490808 Shahzad Ghori Student in an Organized Health Care Education/Training Program 1727 Druid Oaks Ne, Atlanta, GA 30329 2016-08-01
1023467768 Ashley Elliott Physician Assistant 59 Executive Park, Atlanta, GA 30329 2016-06-03
1285096115 Kimberley Fox Internal Medicine 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 2016-03-21
1275991648 Mary Patricia Joyce Internal Medicine 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 2016-02-01
1346656618 Amelia Muniz Hernandez Pediatrics 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 2014-07-08
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245830140 Tiffany Alberto Counselor 350 Lyndale Dr Se, Atlanta, GA 30316-2692 2020-10-29
1285231951 Mecall Pearson Counselor 1350 Spring St Nw Ste 225, Atlanta, GA 30309-2866 2020-10-06
1447862172 Dr. Burwell Speaks, LLC Counselor 3495 Buckhead Loop Ne Ste 1112, Atlanta, GA 30326-1528 2020-08-24
1386254761 Jocelyn Patterson Mosley Counselor 2030 Gramercy Cir, Atlanta, GA 30341-1779 2020-07-31
1205444718 Vanessa Lorraine Elizabeth Johnson Counselor 1388 Gates Cir Se, Atlanta, GA 30316-4092 2020-07-21
1891303426 Cheryl E Williams Counselor 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 2020-07-20
1376161760 Lisa J Strube Counselor 49 Lenox Pointe Ne Ste C, Atlanta, GA 30324-7426 2020-07-11
1881210201 Destiny Winters Counselor 900 Dekalb Ave Ne Ste K, Atlanta, GA 30307-2501 2020-06-22
1912522582 Dorian Ellis Counselor 5470 Lemoyne Dr Sw, Atlanta, GA 30331-9206 2020-06-10
1568083202 Charlene Marie Smith Counselor 2323 Piedmont Rd Ne Apt 2124, Atlanta, GA 30324-3419 2020-05-05
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Competitor

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City ATLANTA
Zip Code 30329

Improve Information

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Dataset Information

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.

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