YOUR WAY OUT, LLC (NPI# 1407474778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407474778 |
| Entity Type | Organization |
| Organization Name | YOUR WAY OUT, LLC |
| Practice Address |
2330 Scenic Hwy S Ste 316 Snellville GA 30078-3115 |
| Practice Telephone | 4045006924 |
| Practice Fax Number | 4043934696 |
| Mailing Telephone | 4045006924 |
| Mailing Fax Number | 4043934696 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | CANDACE BROOKE STARKS (OWNER) |
| Authorized Official Telephone | 4042859259 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | YOUR WAY OUT, LLC | 4197 West 140th St., Cleveland, OH 44135 |
| Street Address |
2330 SCENIC HWY S STE 316 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780227140 | Creative Life Center, LLC | Counselor | 2795 Main St W Ste 21a, Snellville, GA 30078-3073 | 2019-10-17 |
| 1538664867 | Ayana Domingo-hanse | Counselor | 2369 Park Estates Dr, Snellville, GA 30078-6852 | 2018-03-28 |
| 1518462399 | Jennifer Drury | Counselor | 2802 Country Farms Ct, Snellville, GA 30039-4709 | 2018-03-26 |
| 1689173874 | Alexandria Walker | Counselor | 2386 Clower St Ste 101, Snellville, GA 30078-6134 | 2018-02-02 |
| 1528578663 | Richard Baldwin IIi | Counselor | 4292 Trillium Wood Trl, Snellville, GA 30039-6087 | 2017-10-03 |
| 1912449984 | Monique L Aguirre | Counselor | 1920 Hickory Station Cir, Snellville, GA 30078-6179 | 2016-11-08 |
| 1215394085 | Yodit Alemu | Counselor | 2795 Main St W Ste 20b, Snellville, GA 30078-3073 | 2016-01-25 |
| 1285036848 | Christopher Michael Little | Counselor | 3202 Chesterfield Ct, Snellville, GA 30039-4600 | 2014-09-25 |
| 1437404803 | Monica Douglas Davis | Counselor | 3636 Shrewsbury Ct, Snellville, GA 30039-4643 | 2012-07-20 |
| 1497891428 | Andrea Chafin Gay | Counselor | 2219 Scenic Dr, Snellville, GA 30078-3131 | 2007-01-29 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on YOUR WAY OUT, LLC.
| 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.