STONEBRAKER'S, INC (NPI# 1497922801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497922801 |
| Entity Type | Organization |
| Organization Name | STONEBRAKER'S, INC |
| Other Organization Name | THE INSIGHT PROGRAM |
| Practice Address |
5110 Old Ellis Pt Roswell GA 30076-3863 |
| Practice Telephone | 7707518383 |
| Practice Fax Number | 7707517282 |
| Mailing Telephone | 7707518383 |
| Mailing Fax Number | 7707517282 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2011-02-10 |
| Authorized Official Name | MR. MICHAEL C. STONEBRAKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7707518383 |
| Authorized Official Credential | ICCS, ICADC, CAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
028-556-D | GA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| The Insight Program | Doing Business As Name - Organization |
| Street Address |
5110 OLD ELLIS PT |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-3863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497183131 | Ellington Counseling Services, LLC | Counselor | 604 Hermosa Dr, Roswell, NM 88201-6541 | 2013-10-15 |
| 1679911259 | Maria Teresa Fairclough | Counselor | 200 W Hobbs St, Roswell, NM 88203-1868 | 2013-06-05 |
| 1285070318 | Marla Kay Anaya | Counselor | 105 W 3rd St Ste 429, Roswell, NM 88201-4774 | 2013-05-15 |
| 1952659435 | Fatima Granados | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2012-08-15 |
| 1831325828 | Kimberly Shannon Byrne | Counselor | 400 N Pennsylvania Ave Ste 670b, Roswell, NM 88201-4755 | 2009-06-03 |
| 1912096520 | Yousef Shams | Counselor | 1902 Macy Dr, Roswell, GA 30076-6339 | 2006-10-12 |
| 1467088013 | Katherine Castillo | Counselor | 1107 S Atkinson Ave, Roswell, NM 88203-7154 | 2020-03-16 |
| 1730728809 | Alexandra Beck | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2020-01-06 |
| 1861033409 | Angel R Gordo | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2019-10-04 |
| 1356900559 | Cassonda Anne Stafford | Counselor | 1107 S Atkinson Ave, Roswell, NM 88203-7154 | 2019-06-11 |
| Find all providers in ROSWELL | ||||
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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.