RAVEN LITTLEJOHN


Address: 3643 Walton Way Ext, Building 4, Augusta, GA 30909-4507
Phone: 7063641404

RAVEN LITTLEJOHN (NPI# 1407387665) 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) 1407387665
Entity Type Individual
Full Name RAVEN LITTLEJOHN
Practice Address 3643 Walton Way Ext
Building 4
Augusta
GA 30909-4507
Practice Telephone 7063641404
Practice Fax Number 7063641419
Mailing Telephone 7063641404
Mailing Fax Number 7063641419
Enumeration Date 2017-03-21
Last Update Date 2017-03-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
MSW007401 GA Behavioral Health & Social Service Providers

Office Location

Street Address 3643 WALTON WAY EXT
BUILDING 4
City AUGUSTA
State GA
Zip Code 30909-4507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477546190 Paul Andrew Walters IIi Psychologist 3643 Walton Way Ext, Augusta, GA 30909-4507 2005-08-29
1952879553 Delma Jimenez Counselor 3643 Walton Way Ext, Augusta, GA 30909-4507 2018-11-13
1457834897 Vanesha Brown Counselor 3643 Walton Way Ext, Augusta, GA 30909-4507 2018-09-12
1699281568 Peggy Arlene Harmon Counselor 3643 Walton Way Ext, Augusta, GA 30909-4507 2017-12-14
1235644139 Jessica Wiley Counselor 3643 Walton Way Ext, Augusta, GA 30909-4507 2017-12-13
1154845634 Tatianna S Jones Counselor 3643 Walton Way Ext, Augusta, GA 30909-4507 2017-07-27
1386176642 Adebayo Onabule Counselor 3643 Walton Way Ext, Building 4, Augusta, GA 30909-4507 2017-03-28
1649701780 Jasmine Patterson Counselor 3643 Walton Way Ext, Building 4, Augusta, GA 30909-4507 2017-03-21
1295274389 Alberto Benitez Counselor 3643 Walton Way Ext, Augusta, GA 30909-4507 2017-02-22
1083153167 Halle Sipple Counselor 3643 Walton Way Ext, Augusta, GA 30909-4507 2017-02-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912513888 Lauran Simpson Behavior Technician 1237 Augusta West Parkway, Augusta, GA 30909 2020-09-16
1487273884 Still Perspectives Counseling LLC Counselor 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 2020-04-15
1598397838 Mjra Medical LLC Psychologist 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 2020-02-05
1003452319 Danny Robinson Counselor 2609 Commons Boulevard, Augusta, GA 30909 2019-11-21
1407498637 Candice M Cruse Social Worker 2609 Commons Blvd, Augusta, GA 30909 2019-10-09
1902363385 Mary D Jodon Pharmacist 3338 Wrightsboro Rd., Augusta, GA 30909 2019-02-21
1447790514 Burn Critical Care Associates, LLC Internal Medicine 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 2017-03-08
1124561766 Sasha Latara Mccraw Counselor 7303 Palomino Court, Augusta, GA 30909 2016-11-30
1174974620 Warren Umansky, Ph.d. Psychologist 302 Wheeler Executive Ctr, Augusta, GA 30909 2016-06-27
1811358955 Theodora Mcleskey Nurse Practitioner 1215 George C. Wilson Drive, Augusta, GA 30909 2016-03-17
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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
1053929091 Rosetta Parkeraustin Counselor 2232 Pepperidge Dr, Augusta, GA 30906-5777 2020-07-15
1194342378 Christina Hall Videon Counselor 207 Hudson Trce Ste 100, Augusta, GA 30907-2010 2020-07-03
1487273884 Still Perspectives Counseling LLC Counselor 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 2020-04-15
1801415476 Purpose Place, LLC Counselor 1121 Laney Walker Blvd, Augusta, GA 30901-2869 2020-04-13
1003452319 Danny Robinson Counselor 2609 Commons Boulevard, Augusta, GA 30909 2019-11-21
1619539988 Caitlin Gilham Counselor 2945 Walton Way Ext, Augusta, GA 30909-3827 2019-07-08
1306405451 Julie Elise Tibbetts Counselor 3615b Mike Padgett Hwy, Augusta, GA 30906-3898 2019-06-12
1740797489 Vivian Smoot Ross Counselor 4061 Pullman Cir, Augusta, GA 30909-9842 2018-01-03
1992224299 Trutherapy Lpc Counselor 608 Broad St, Augusta, GA 30901-1444 2017-09-18
1316464415 Heeling In Fashion Foundation Inc. Counselor 3006 Richmond Hill Rd, Augusta, GA 30906-3311 2017-08-29
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Competitor

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City AUGUSTA
Zip Code 30909

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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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