KEYSTONE COUNSELING CENTER


Address: 275 Country Club Dr, Stockbridge, GA 30281-7349
Phone: 7704748400

KEYSTONE COUNSELING CENTER (NPI# 1417092339) 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) 1417092339
Entity Type Organization
Organization Name KEYSTONE COUNSELING CENTER
Practice Address 275 Country Club Dr
Stockbridge
GA 30281-7349
Practice Telephone 7704748400
Practice Fax Number 7704743738
Mailing Telephone 7704748400
Mailing Fax Number 7704743738
Enumeration Date 2007-02-20
Last Update Date 2020-08-22
Authorized Official Name DAVID HERMECZ (PARTNER)
Authorized Official Telephone 7704748400
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101Y00000X Counselor Behavioral Health & Social Service Providers
X 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
X 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
X 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
X 103T00000X Psychologist Behavioral Health & Social Service Providers
X 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
X 103TA0700X Psychologist
Specialization: Adult Development & Aging
Behavioral Health & Social Service Providers
X 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers
X 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers
X 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers
X 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers
X 104100000X Social Worker Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
X 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730417163 Keystone Counseling Center Community/Behavioral Health 275 Country Club Dr, Stockbridge, GA 30281-7349 2009-11-23

Office Location

Street Address 275 COUNTRY CLUB DR
City STOCKBRIDGE
State GA
Zip Code 30281-7349

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982657300 Tanya Coyle Hargrove Counselor 275 Country Club Dr, Stockbridge, GA 30281-7349 2006-05-18
1952851354 April E Barnes Counselor 275 Country Club Dr, Stockbridge, GA 30281 2016-10-10
1811379381 Jeffrey Ayers Counselor 275 Country Club Dr, Stockbridge, GA 30281-7349 2015-06-22
1164753034 Andrea Smith Social Worker 275 Country Club Dr, Stockbridge, GA 30281-7349 2010-01-15
1730417163 Keystone Counseling Center Community/Behavioral Health 275 Country Club Dr, Stockbridge, GA 30281-7349 2009-11-23
1609088517 Alisha Curry Walker Counselor 275 Country Club Dr, Stockbridge, GA 30281-7349 2007-05-04
1265582357 Margaret O. Weaver Psychologist 275 Country Club Dr, Stockbridge, GA 30281-7349 2007-01-11
1699849265 David Arthur Hermecz Psychologist 275 Country Club Dr, Stockbridge, GA 30281-7349 2006-11-17
1073691911 Karla Redman Social Worker 275 Country Club Dr, Stockbridge, GA 30281-7349 2006-11-01
1689759458 Lance Alfrred Netland Marriage & Family Therapist 275 Country Club Dr, Stockbridge, GA 30281-7349 2006-10-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164039095 Colette Alls Social Worker 447 Lakeshore Dr, Stockbridge, GA 30281 2020-09-24
1982216800 Pediatric and Family Behavioral Health of Georgia Counselor 1004 Ulster Court, Stockbridge, GA 30281 2020-08-21
1518577659 Qunique Taveka Toxey Behavior Technician 115 N Park Trail, Suite 123, Stockbridge, GA 30281 2020-08-04
1497377675 Melanie Harvey Pharmacist 4467 North Henry Boulevard, Stockbridge, GA 30281 2020-05-11
1114550571 Cecile Maria Dunkley Layne Counselor 255 Corporte Drive, Stockbridge, GA 30281 2020-02-13
1306407143 Palliative Care of Georgia. LLC Home Health 275 Corporate Center Court Ste C, Stockbridge, GA 30281 2019-06-24
1154883791 Aaliyah Nura Fardan-alexander Nurse's Aide 105 Singletree, Stockbridge, GA 30281 2019-04-02
1306306261 Prosthetic Care, Inc. Prosthetic/Orthotic Supplier 150 County Club Drive, Suite 200, Stockbridge, GA 30281 2019-03-25
1356814172 Kristina Louissaint Nurse Practitioner 650 Country Club Dr, Stockbridge, GA 30281 2019-01-03
1942789284 Cameren Barnes Physical Therapist 5473 N Henry Blvd, Stockbridge, GA 30281 2018-08-08
Find all providers in zip 30281

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356814727 Ecclesia Savage Counselor 829 Fairways Ct Ste 210, Stockbridge, GA 30281-7219 2019-01-08
1437675972 Tina Bonds Counselor 20 Country Place Ct, Stockbridge, GA 30281-1367 2017-08-16
1609310382 Marissa Mullins Counselor 829 Fairways Ct, Stockbridge, GA 30281-7219 2016-12-14
1124560834 Charleka Kelley Counselor 301 Country Club Dr, Stockbridge, GA 30281-7350 2016-11-11
1194188250 Linda Susan Williams Counselor 135 Glynn Addy Dr, Stockbridge, GA 30281-7639 2016-04-05
1073924916 Grequenceo Coger Counselor 1817 Saint Ives Xing, Stockbridge, GA 30281-9011 2014-05-14
1871837542 Tina Nechelle Aldridge Counselor 633 Glenwood Way, Stockbridge, GA 30281-9050 2012-11-20
1982968277 Nona A Lindberg Counselor 20 Lee Rd, Stockbridge, GA 30281-2516 2012-07-02
1609161041 Saheedah Henriques Counselor 1133 Eagles Landing Pkway, Stockbridge, GA 30281 2011-06-14
1558676023 Malochee Joseph Counselor 403 Azure Ct, Stockbridge, GA 30281-7005 2010-08-09
Find all providers in STOCKBRIDGE

Competitor

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City STOCKBRIDGE
Zip Code 30281

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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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