TARA ZELLOUS (NPI# 1558718700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558718700 |
| Entity Type | Individual |
| Full Name | TARA ZELLOUS |
| Credential | LPC |
| Practice Address |
1775 Pennsylvania Ave Mcdonough GA 30253-9118 |
| Mailing Address |
2041 Gates Court Mcdonough GA 30253 |
| Practice Telephone | 4043044643 |
| Mailing Telephone | 4043044643 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC009265 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE LICENSE | LPC009265 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 250 North Ave, Athens, GA 306012244 | 7063896789 | 7062277249 |
| Street Address |
1775 PENNSYLVANIA AVE |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-9118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598238628 | Sabrina Karma Hudnall | Counselor | 1775 Pennsylvania Ave, Mcdonough, GA 30253-9118 | 2019-01-11 |
| 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 |
| 1518322395 | Jaquita Shorts | Counselor | 1705 Pennslyvania Ave, Mcdonough, GA 30252 | 2015-12-22 |
| 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.