ERNEST PROW III (NPI# 1558809822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558809822 |
| Entity Type | Individual |
| Full Name | ERNEST PROW III |
| Credential | LAPC |
| Practice Address |
2200 Price Rd Martin GA 30557-3457 |
| Practice Telephone | 7067795766 |
| Mailing Telephone | 7067795766 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
APC005748 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2200 PRICE RD |
| City | MARTIN |
| State | GA |
| Zip Code | 30557-3457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902163520 | Shepherd's Hill Academy, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2200 Price Rd, Martin, GA 30557-3457 | 2012-04-20 |
| 1144885450 | Elise Embrick Thrift | Counselor | 2200 Price Rd, Martin, GA 30557-3457 | 2019-05-02 |
| 1982116992 | Victoria Nolen | Counselor | 2200 Price Rd, Martin, GA 30557-3457 | 2017-10-31 |
| 1629439716 | Vikki Paese | Counselor | 2200 Price Rd, Martin, GA 30557-3457 | 2016-03-16 |
| 1437519451 | Shepherd's Hill Academy, Inc | Substance Abuse Rehabilitation Facility | 2200 Price Rd, Martin, GA 30557-3457 | 2016-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629609334 | Kimberly Petenbrink | Technician | 117 Landrum Dr, Martin, GA 30557-2546 | 2020-01-31 |
| 1952378408 | Karen S.p. Eschedor | Family Medicine | 4948 Gumlog Rd, Martin, GA 30557-2921 | 2006-03-03 |
| 1962053173 | Jaime Neill | Technician | 17139 Highway 17, Martin, GA 30557-3324 | 2019-09-28 |
| 1528113370 | Jennifer Larue Davitt | Registered Nurse | 709 Wilson Rd, Martin, GA 30557-3573 | 2007-01-24 |
| 1619011129 | Whitley, LLC | Registered Nurse | 709 Wilson Rd, Martin, GA 30557-3573 | 2007-02-16 |
| 1538595483 | Estatohe Counseling | Community/Behavioral Health | 1085 Bruce Rd, Martin, GA 30557-4639 | 2013-09-24 |
| 1477975514 | Terry Morris | Counselor | 1085 Bruce Rd, Martin, GA 30557-4639 | 2014-01-08 |
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825913 | Napier Counseling, Inc | Counselor | 512 Arkansas Creek Rd, Martin, KY 41649-8002 | 2017-04-16 |
| 1285904680 | Jessika Blair London | Counselor | 457 Hannings Ln, Martin, TN 38237-3307 | 2012-01-03 |
| 1538333828 | Joshua Slone | Counselor | 11206 Main Street, Martin, KY 41649 | 2008-04-17 |
| 1942353883 | David Newsome | Counselor | 11206 Main St., Martin, KY 41649 | 2007-01-22 |
| 1750498291 | Qulia Hamilton | Counselor | 11206 Main St, Martin, KY 41649 | 2006-08-23 |
| 1073957833 | Debra Fulcher | Counselor | 102 Church St, Martin, TN 38237-2404 | 2013-04-24 |
| 1063791531 | New Perspectives, LLC. | Counselor | 215 Hawks Rd, Suite 5, Martin, TN 38237-2708 | 2011-08-15 |
| 1376734913 | Amy Montgomery | Counselor | 11206 Main St, Martin, KY 41649 | 2007-08-08 |
| 1255473823 | Tracy Nassar | Counselor | 215 Hawks Rd, Suite 5, Martin, TN 38237-2708 | 2007-02-12 |
| 1780725770 | Laura Toney | Counselor | 215 Hawks Rd, Martin, TN 38237-2708 | 2007-02-10 |
| Find all providers in MARTIN | ||||
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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.