CARMELLA ANDREA GAYLE (NPI# 1528538246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528538246 |
| Entity Type | Individual |
| Full Name | CARMELLA ANDREA GAYLE |
| Practice Address |
2300 W Park Pl Stone Mountain GA 30087-6713 |
| Mailing Address |
624 El Prado Ct Stone Mountain GA 30083-3822 |
| Practice Telephone | 6783301400 |
| Mailing Telephone | 4044313190 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
059684277 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2300 W PARK PL |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-6713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891264586 | Sabrina Tolson | Counselor | 2300 W Park Pl, Stone Mountain, GA 30087-6713 | 2018-11-25 |
| 1417575507 | Stacy D Witherspoon | Behavior Technician | 2300 W Park Pl, Stone Mountain, GA 30087-6713 | 2020-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194378364 | Candace Lucas | Counselor | 477 Village Square Ct, Stone Mountain, GA 30083-4274 | 2019-07-17 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1891264586 | Sabrina Tolson | Counselor | 2300 W Park Pl, Stone Mountain, GA 30087-6713 | 2018-11-25 |
| 1558837187 | Ashley T Staten | Counselor | 4893 Memorial Dr, Stone Mountain, GA 30083-4175 | 2018-10-22 |
| 1689171126 | Brandi Reed | Counselor | 4611 Greer Cir Ste H, Stone Mountain, GA 30083-1024 | 2018-04-11 |
| 1245771013 | Erica Dionne Woods | Counselor | 5447 Oquinn Ct, Stone Mountain, GA 30088-1305 | 2017-03-13 |
| 1659752491 | Big Mama House | Counselor | 707 Pennybrook Ln, Stone Mountain, GA 30087-5918 | 2015-06-17 |
| 1538784103 | Lori Fran Abramson | Counselor | 5582 Memorial Dr, Stone Mountain, GA 30083-3215 | 2020-06-10 |
| 1679135321 | D'alma Bradley | Counselor | 1505 Lilburn Stone Mountain Rd Ste 235, Stone Mountain, GA 30087-1857 | 2019-07-02 |
| 1205306412 | Annette Winkfield | Counselor | 2300 W Park Place Blvd, Stone Mountain, GA 30087-6713 | 2018-11-30 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
Please comment or provide details below to improve the information on CARMELLA ANDREA GAYLE.
| 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.