THE MARGIE REE HANSFORD THURMOND FAMILY LIFE CENTER (NPI# 1376019141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376019141 |
| Entity Type | Organization |
| Organization Name | THE MARGIE REE HANSFORD THURMOND FAMILY LIFE CENTER |
| Practice Address |
710 King Rd Riverdale GA 30274-2027 |
| Mailing Address |
9100 Amberleigh Ln Riverdale GA 30274-4682 |
| Practice Telephone | 7704687100 |
| Mailing Telephone | 7704687100 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |
| Authorized Official Name | DR. MYRNA THURMOND MALONE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7704687100 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| Street Address |
710 KING RD |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013331438 | New Hope Restorative Care, LLC | Social Worker | 710 King Rd, Riverdale, GA 30274-2027 | 2014-02-05 |
| 1336615194 | Myrna Thurmond Malone | Counselor | 710 King Rd, Riverdale, GA 30274-2027 | 2018-10-19 |
| 1871955443 | Laura Washington | Case Manager/Care Coordinator | 710 King Rd, Riverdale, GA 30274-2027 | 2016-03-23 |
| 1720466345 | Justin Frisbey | Specialist | 710 King Rd, Riverdale, GA 30274-2027 | 2015-05-14 |
| 1508280942 | Thelma Washington | Social Worker | 710 King Rd, Riverdale, GA 30274-2027 | 2014-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336615194 | Myrna Thurmond Malone | Counselor | 710 King Rd, Riverdale, GA 30274-2027 | 2018-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275703 | Tamiko Sirena Hobbs | Counselor | 15 Perry St # 113, Newnan, GA 30263-1918 | 2020-11-04 |
| 1912506346 | Dale Allen Zarlenga | Counselor | 50 Eastbrook Bnd Ste B, Peachtree City, GA 30269-1530 | 2020-10-16 |
| 1336755198 | Deborah Mae Adams | Counselor | 1631 Bentwood Dr Sw, Lilburn, GA 30047-4507 | 2020-09-17 |
| 1265046858 | Yvette Wright Etheridge | Counselor | 112 Courts of Hampton, Hampton, GA 30228-2099 | 2020-09-01 |
| 1588275184 | Bridgette Morris | Counselor | 4989 Peachtree Pkwy # 230, Peachtree Corners, GA 30092-2589 | 2020-08-17 |
| 1043828932 | Primary Medical Homecare LLC | Counselor | 2480 Windy Hill Rd Se Ste 206, Marietta, GA 30067-8656 | 2020-07-17 |
| 1982220513 | Jennifer Lynn Harper | Counselor | 46 Rice Lewis Gilliard Way, Toccoa, GA 30577 | 2020-06-19 |
| 1477187573 | Vicki Jackson | Counselor | 200 Grover Turner Way, Mcdonough, GA 30253-5976 | 2020-02-27 |
| 1053943878 | Naylecia Monique Watkins | Counselor | 5701 Mableton Pkwy Sw Ste 300, Mableton, GA 30126-3364 | 2020-02-10 |
| 1306476296 | Turrender Meshell Bates | Counselor | 1313 Emmett St, Augusta, GA 30904-5726 | 2020-01-21 |
| 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.