MS. BRENDA STUBBS KING (NPI# 1558536110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558536110 |
| Entity Type | Individual |
| Full Name | MS. BRENDA STUBBS KING |
| Credential | LPC |
| Practice Address |
2020 Avalon Pkwy Suite 185 Mcdonough GA 30253-3054 |
| Practice Telephone | 6788331820 |
| Practice Fax Number | 6788331821 |
| Mailing Telephone | 6788331820 |
| Mailing Fax Number | 6788331821 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2009-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC005206 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 120049585A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578013223 | Brenda King | Counselor | 505 Myers St, Pineville, LA 71360 | 2016-10-06 |
| 1659620425 | Brenda Doreen King | Early Intervention Provider Agency | 301 Elmhurst Ave, Vine Grove, KY 40175-1211 | 2012-09-07 |
| 1417234923 | Brenda King | Licensed Practical Nurse | 100 Ballard Ave, Syracuse, NY 13205-1001 | 2011-11-11 |
| 1619201704 | Brenda J King | Psychologist | 78 Burncoat Street, Worcester, MA 01605 | 2009-09-23 |
| 1669627162 | Brenda King | Counselor | 4261 N Teutonia Ave, Milwaukee, WI 53209-6754 | 2008-11-25 |
| 1518150945 | Brenda Hackney King | Physical Therapist | 4895 Pine Ridge Dr, Columbus, IN 47201-2569 | 2007-08-20 |
| 1982635108 | Brenda Sue King | Social Worker | 5610 Sandy Lewis Dr Ste A, Fairfax, VA 22032-4045 | 2006-07-05 |
| 1942779822 | Brenda King | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1184134942 | Brenda King | Counselor | 151 E Main St, Jackson, OH 45640-1742 | 2017-10-06 |
| 1871973099 | Brenda King | Community Health Worker | 15095 Amargosa Rd, Suite 201, Victorville, CA 92394-1879 | 2015-06-03 |
| Street Address |
2020 AVALON PKWY SUITE 185 |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086581 | Connect Four Counseling LLC | Community/Behavioral Health | 2020 Avalon Pkwy, Suite 375, Mcdonough, GA 30253-3087 | 2015-10-22 |
| 1396015962 | Self-investment Enrichment Services | Day Training, Developmentally Disabled Services | 2020 Avalon Pkwy, Suite 165, Mcdonough, GA 30253-3087 | 2012-01-12 |
| 1164650842 | Talking Solutions Anger Management & Counseling Center | Counselor | 2020 Avalon Pkwy, Suite 185, Mcdonough, GA 30253-3054 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180756 | River Haven Counseling Center, LLC | Counselor | 103 Jonesboro Rd Ste K, Mcdonough, GA 30253-3169 | 2020-09-23 |
| 1598376006 | Ltanya Daniel | Counselor | 207 Olde Town Way, Mcdonough, GA 30252-6887 | 2020-08-10 |
| 1043831605 | Kourtney K Buchanan | Counselor | 8015 Chapman Ter, Mcdonough, GA 30252-8604 | 2020-05-05 |
| 1831730456 | Shirley Tate Chambers | Counselor | 1270 Upchurch Rd, Mcdonough, GA 30252-8557 | 2019-10-04 |
| 1386285070 | Koriand'r Comegys | Counselor | 1725 Pennsylvania Ave, Mcdonough, GA 30253-9118 | 2019-10-03 |
| 1295386167 | Haley Reed | Counselor | 475 Crumbley Rd, Mcdonough, GA 30252-4412 | 2019-09-23 |
| 1629538277 | Regina Yvette Davis | Counselor | 228 Daisy Cir, Mcdonough, GA 30252-1040 | 2019-03-20 |
| 1619404092 | Sonya Snow | Counselor | 1944 Brannan Road, Mcdonough, GA 30253-2217 | 2017-05-17 |
| 1255781332 | Javonne Darling | Counselor | 801 Colwell Ln, Mcdonough, GA 30253-8082 | 2016-06-20 |
| 1558718700 | Tara Zellous | Counselor | 1775 Pennsylvania Ave, Mcdonough, GA 30253-9118 | 2016-05-18 |
| Find all providers in MCDONOUGH | ||||
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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.