MOTHER AND BABY WELLNESS COLLECTIVE, LLC (NPI# 1376151001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376151001 |
| Entity Type | Organization |
| Organization Name | MOTHER AND BABY WELLNESS COLLECTIVE, LLC |
| Practice Address |
136 Millstone Way Canton GA 30115-7270 |
| Practice Telephone | 8457721374 |
| Mailing Telephone | 8455512116 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | BRITTANY ZIS (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8455512116 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
136 MILLSTONE WAY |
| City | CANTON |
| State | GA |
| Zip Code | 30115-7270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053882399 | Wimal Jayakody | Clinic/Center | 1259 Aziz Dr, Canton, MI 48188-5092 | 2018-12-16 |
| 1750850129 | Jigarkumar Ashokkumar Patel | Clinic/Center | 150 W Canford Park, Canton, MI 48187-6672 | 2018-11-15 |
| 1699008813 | Pace Rehab Inc | Clinic/Center | 46576 Inverness Rd, Canton, MI 48188-3050 | 2009-09-08 |
| 1578797445 | Bethany's Equine and Aquatic Therapy Services, Inc | Clinic/Center | 75 Red Gate Terrace, Canton, GA 30115 | 2009-05-07 |
| 1740499821 | Canton-potsdam Hospital | Clinic/Center | 80 East Main St., Canton, NY 13617 | 2007-05-22 |
| 1942353545 | Sports and Orthopedic Physical Therapy, Inc. | Clinic/Center | 343 Neponset St, Canton, MA 02021-1997 | 2007-01-19 |
| 1437242468 | United Helpers Canton Nursing Home, Inc | Clinic/Center | 205 State Street Rd, Canton, NY 13617-3302 | 2006-10-02 |
| 1801841374 | Canton Institute for Physical Therapy, LLC | Clinic/Center | 147 Reinhardt College Parkway, Suite 9, Canton, GA 30114-0520 | 2006-05-23 |
| 1184615148 | Northeast Professional Home Care, Inc. | Clinic/Center | 4580 Stephen Cir Nw Ste 301, Canton, OH 44718-3646 | 2005-10-31 |
| 1316448301 | Andrew Asztalos | Clinic/Center | 609 Neponset St, Canton, MA 02021-1981 | 2018-02-24 |
| Find all providers in CANTON | ||||
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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.