EZKIEL OMARI KHALAF ANDREWS (NPI# 1366964868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366964868 |
| Entity Type | Individual |
| Full Name | EZKIEL OMARI KHALAF ANDREWS |
| Credential | CAC |
| Practice Address |
1103 Corder Rd Apt M4 Warner Robins GA 31088-7156 |
| Mailing Address |
1103 Corder Rd Apt M4 Warner Robins GA 31088 |
| Practice Telephone | 2293322026 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| 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) |
3419 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1103 CORDER RD APT M4 |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-7156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790272474 | Anna Alexis Hernandez | Counselor | 607 Russell Pkwy Ste 8, Warner Robins, GA 31088-7640 | 2018-04-18 |
| 1447799200 | Alicia Y Stephens | Counselor | 505 Northside Dr, Warner Robins, GA 31093-2225 | 2017-02-13 |
| 1043757214 | Mark Stein | Counselor | 607 Russell Parkway Ste A, Warner Robins, GA 31088 | 2017-01-26 |
| 1053857862 | Jeff Hames | Counselor | 607 Russell Pkwy, Suite A, Warner Robins, GA 31088-7640 | 2017-01-18 |
| 1619306867 | Lee R Chambers | Counselor | 341 Margie Dr Ste 3a, Warner Robins, GA 31088 | 2013-11-08 |
| 1972858264 | Melissa Mcnew Travers | Counselor | 261 Falcon Crest, Warner Robins, GA 31088 | 2012-07-23 |
| 1174794911 | Lance Michael Henson | Counselor | 112 Limestone Trl, Warner Robins, GA 31093-3809 | 2008-03-20 |
| 1346851714 | Sarah Melissa Fordham | Counselor | 607 Russell Pkwy Ste A, Warner Robins, GA 31088-7690 | 2020-08-11 |
| 1255949053 | Jamie Marie Lester | Counselor | 607 Russell Pkwy Ste A, Warner Robins, GA 31088-7690 | 2020-07-17 |
| 1003450040 | Crystal Monte Stephens | Counselor | 607 Russell Pkwy, Warner Robins, GA 31088-7640 | 2019-11-02 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
Please comment or provide details below to improve the information on EZKIEL OMARI KHALAF ANDREWS.
| 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.