DR. KRISTEN NOEL DICKENS (NPI# 1568073203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568073203 |
Entity Type | Individual |
Full Name | DR. KRISTEN NOEL DICKENS |
Credential | PH.D., LPC, ACS, NCC |
Practice Address |
326 Myrtle Crossing Dr Ste 200 Statesboro GA 30458-4689 |
Mailing Address |
401 Driftwood Ct Statesboro GA 30458-0279 |
Practice Telephone | 9124897590 |
Mailing Telephone | 7042772806 |
Enumeration Date | 2020-08-15 |
Last Update Date | 2020-08-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
011544 | GA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306320379 | Kristen Holly Dickens | Behavior Technician | 124 E Miracle Strip Pkwy Ste 502, Mary Esther, FL 32569-1991 | 2018-09-17 |
Street Address |
326 MYRTLE CROSSING DR STE 200 |
City | STATESBORO |
State | GA |
Zip Code | 30458-4689 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
Find all providers in zip 30458 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982217188 | Nikita Robinson | Counselor | 108b Nature Way, Statesboro, GA 30458-0501 | 2020-08-26 |
1679191944 | Angela Landers | Counselor | 303 Palomino Path, Statesboro, GA 30458-9703 | 2020-07-13 |
1851932073 | Richard E Cleveland | Counselor | 333 Pebble Stone Trl, Statesboro, GA 30461-1309 | 2019-09-30 |
1134658115 | Michael Jay Renfroe | Counselor | 3069 Mccall Blvd, Statesboro, GA 30461-4922 | 2017-06-05 |
1679004147 | Pamela Wells | Counselor | 552 E Main St Apt 925, Statesboro, GA 30461-4264 | 2017-03-25 |
1609316629 | Natosha Edenfield | Counselor | 327 S Walnut St, Statesboro, GA 30458-5418 | 2017-02-24 |
1386017069 | Kristina Brewton | Counselor | 9012 Whispering Pine Blvd, Statesboro, GA 30458-9211 | 2015-11-04 |
1831593888 | Tonja Dawn Roberts | Counselor | 301 Palomino Path, Statesboro, GA 30458-9703 | 2014-10-20 |
1700218179 | Kimberly Mi-suk Brauda | Counselor | Statesboro Psychiatric Associates, 116 Hill Pond Lane, Statesboro, GA 30458 | 2013-08-07 |
1295172567 | Melody S Vogt | Counselor | 58 East Main Street Ste. 1032, Statesboro, GA 30458 | 2013-05-28 |
Find all providers in STATESBORO |
City | STATESBORO |
Zip Code | 30458 |
Please comment or provide details below to improve the information on DR. KRISTEN NOEL DICKENS.
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.