A NEW CREATION PSYCHOTHERAPY SERVICES, LLC (NPI# 1588058945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588058945 |
| Entity Type | Organization |
| Organization Name | A NEW CREATION PSYCHOTHERAPY SERVICES, LLC |
| Practice Address |
500 Lanier Ave W Suite 908 Fayetteville GA 30214-7636 |
| Practice Telephone | 6785614468 |
| Mailing Telephone | 6785614468 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |
| Authorized Official Name | DR. CANDICE P COOPER (OWNER/THERAPIST) |
| Authorized Official Telephone | 6785614468 |
| Authorized Official Credential | PHD, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT001322 | GA | Behavioral Health & Social Service Providers |
| Street Address |
500 LANIER AVE W SUITE 908 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-7636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306173000 | Tori Clear Thompson | Social Worker | 500 Lanier Ave W, Suite 904, Fayetteville, GA 30214-7636 | 2009-11-17 |
| 1457967648 | Janet Battle Mannion | Registered Nurse | 500 Lanier Ave W, Fayetteville, GA 30214-7636 | 2020-09-22 |
| 1386288769 | Arise and Live Christian Counseling | Religious Nonmedical Health Care Institution | 500 Lanier Ave W, Fayetteville, GA 30214-7636 | 2019-10-29 |
| 1104399153 | Ifeyinwa In Nwakor | In Home Supportive Care | 500 Lanier Ave W, Fayetteville, GA 30214-7636 | 2019-01-02 |
| 1487125985 | Preston Jones | Counselor | 500 Lanier Ave W, Fayetteville, GA 30214-7636 | 2018-12-09 |
| 1134652001 | Owens Counseling Services, LLC | Community/Behavioral Health | 500 Lanier Ave W, Suite 606-a, Fayetteville, GA 30214-7636 | 2017-04-07 |
| 1851830533 | Karen Denise Amos | Nurse Practitioner | 500 Lanier Ave W, Suite 301, Fayetteville, GA 30214-7636 | 2017-02-15 |
| 1598119828 | Denice Vance | Dietitian, Registered | 500 Lanier Ave W, Fayetteville, GA 30214-7636 | 2016-04-23 |
| 1588031694 | Meghan Morales | Physical Therapist | 500 Lanier Ave W, Suite 303, Fayetteville, GA 30214-7636 | 2015-08-24 |
| 1336521939 | Absolute Staffing Solutions LLC | Home Health | 500 Lanier Ave W, Ste. 908, Fayetteville, GA 30214-7636 | 2015-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639180 | Eugene Mack | Marriage & Family Therapist | 3608 Talus Rd, Fayetteville, NC 28306-9717 | 2019-09-26 |
| 1447755822 | Emily Jones | Marriage & Family Therapist | 5719 Danville Dr, Fayetteville, NC 28311-3419 | 2018-03-27 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1508381724 | Tina Marie Duggins | Marriage & Family Therapist | 1611b Owen Dr # 4835884, Fayetteville, NC 28304-3425 | 2017-08-09 |
| 1932640828 | Monique Rendles | Marriage & Family Therapist | 2106 Hope Mills Rd, Fayetteville, NC 28304-4226 | 2017-03-13 |
| 1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
| 1972958601 | Mark Knox | Marriage & Family Therapist | 1611 Owen Dr, Fayetteville, NC 28304-3425 | 2016-05-02 |
| 1861867053 | Zulima Webster | Marriage & Family Therapist | 11941 Fairway Overlook, Fayetteville, GA 30215-6637 | 2015-12-14 |
| 1124490362 | Brynn Rogers | Marriage & Family Therapist | 309 N Manlius St, Fayetteville, NY 13066-1433 | 2015-10-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.