THE FOUNTAIN OF HOPE COUNSELING SERVICES,LLC (NPI# 1538706429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538706429 |
| Entity Type | Organization |
| Organization Name | THE FOUNTAIN OF HOPE COUNSELING SERVICES,LLC |
| Practice Address |
755 Commerce Dr Ste 903 Decatur GA 30030-2624 |
| Mailing Address |
593 Stonemill Mnr Lithonia GA 30058-8226 |
| Practice Telephone | 6787489495 |
| Mailing Telephone | 6787489495 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | LORRAINE GABBIDON (LPC) |
| Authorized Official Telephone | 4043077585 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
755 COMMERCE DR STE 903 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1033719075 | Lateria Nicole Allen | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030-2624 | 2020-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| 1417468638 | Deborah Korzun | Physical Therapist | 6303 Jefferson Square Ct, Decatur, GA 30030 | 2017-10-15 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225679921 | Jacqueline Pickett Parrish | Clinic/Center | 3511 Willow Tree Trce, Decatur, GA 30034-3842 | 2019-10-03 |
| 1396209284 | Sdh Counseling, LLC | Clinic/Center | 2784 N Decatur Rd Ste 145, Decatur, GA 30033-5903 | 2019-01-25 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1568959591 | Activating Wellness Within, LLC | Clinic/Center | 4153 Flat Shoals Pkwy Ste 324-a, Decatur, GA 30034-4106 | 2018-04-16 |
| 1235527524 | Heritage Behavioral Health Center, Inc | Clinic/Center | 327 W Prairie Ave, Decatur, IL 62522-2444 | 2015-01-08 |
| 1891051579 | Region Ten Commission On Mental Health | Clinic/Center | 92 South 6th Avenue, Decatur, MS 39327-0092 | 2012-04-06 |
| 1326352048 | Bates Behavioral Service | Clinic/Center | 1401 Carter Rd, Decatur, GA 30030-4608 | 2010-08-05 |
| 1215561675 | Leikam Therapy and Consulting LLC | Clinic/Center | 118 E Maple St, Decatur, GA 30030-3314 | 2020-02-25 |
| 1730645680 | Your Journey Counseling of Decatur, LLC | Clinic/Center | 108 E Ponce De Leon Ave Ste 206, Decatur, GA 30030-2512 | 2019-02-15 |
| 1043781347 | Barbara Lewison, Lcsw, LLC | Clinic/Center | 209b Swanton Way Ste 104, Decatur, GA 30030-3271 | 2018-12-11 |
| Find all providers in DECATUR | ||||
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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.