MR. CORWIN D COOPER


Address: 338 Old Monticello Rd Nw, Milledgeville, GA 31061-9648
Phone: (478) 457-7598

MR. CORWIN D COOPER (NPI# 1548783871) 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) 1548783871
Entity Type Individual
Full Name MR. CORWIN D COOPER
Credential LPC
Practice Address 338 Old Monticello Rd Nw
Milledgeville
GA 31061-9648
Practice Telephone (478) 457-7598
Mailing Telephone 4784577598
Enumeration Date 2017-07-19
Last Update Date 2017-07-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LPC007723 GA Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
LPC007723 GA Behavioral Health & Social Service Providers

Office Location

Street Address 338 OLD MONTICELLO RD NW
City MILLEDGEVILLE
State GA
Zip Code 31061-9648

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1467923805 Adam Tocio Specialist/Technologist 350 W. Washington St., Milledgeville, GA 31061 2018-12-11
1487170304 Aubrey Martin Specialist/Technologist 251 S Clark St., Milledgeville, GA 31061 2017-08-22
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1851813893 Brittany Shantrel Primas Nurse Practitioner 102 A Airport Road Ne, Milledgeville, GA 31061 2017-07-12
1609300839 Samantha Weldon Behavioral Analyst 174 Stewart Dr Nw, Milledgeville, GA 31061 2017-04-14
1427425230 Foster Deariso Specialist/Technologist 251 S Clarke St, Milledgeville, GA 31061 2015-08-27
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407007479 Nashunda Carr Counselor 630 W Charlton St, Milledgeville, GA 31061-2303 2008-10-08
1669763801 James Anthony Gorley Counselor 1776 N Jefferson St Ne Ste B, Milledgeville, GA 31061-2292 2011-04-21

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1972110674 Tiffany Scott Counselor 9071 Jimmy Lee Cir, Jonesboro, GA 30238-7009 2020-09-26
1346856853 Mahaly H Ashley Counselor 367 Richardson Rd, Calhoun, GA 30701 2020-09-21
1780296723 Janet Brown Counselor 166b Mount Pleasant Church Rd, Pineview, GA 31071-5248 2020-08-20
1598377038 Angie Hamilton Counselor 5101 Waterford Dr Sw, Mableton, GA 30126-1742 2020-08-17
1255942355 Sonia Diane Glass Counselor 6285 Littleton Dr, Union City, GA 30291-1071 2020-08-12
1679198410 Lorri Michelle Strickland Counselor 1040 Us Hwy 280 W, Pembroke, GA 31321 2020-06-08
1184246118 Christopher White Counselor 1430 Desoto Ave Sw, Atlanta, GA 30310-4340 2020-05-13
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Competitor

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City MILLEDGEVILLE
Zip Code 31061

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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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