MRS. BRENDA D ELY (NPI# 1588977466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588977466 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA D ELY |
| Credential | LPC |
| Practice Address |
1983 Lower Roswell Rd Marietta GA 30068-3348 |
| Practice Telephone | 7703218244 |
| Practice Fax Number | 7709738844 |
| Mailing Telephone | 7703218244 |
| Mailing Fax Number | 7709738844 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC002183 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1983 LOWER ROSWELL RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-3348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561931 | Rebekah Ruth Evans | Counselor | 142 S Park Sq Ne Ste H, Marietta, GA 30060-8616 | 2020-03-03 |
| 1710511092 | Alicia Lynn Abramski | Counselor | 200 Putnam St Ste 314316, Marietta, OH 45750-3005 | 2020-02-26 |
| 1285295345 | Stephen Mcelderry | Counselor | 2575 Delk Rd Se Apt 1130d, Marietta, GA 30067-6589 | 2019-06-27 |
| 1891243523 | Sharon West Rogers | Counselor | 797 Roswell St Ne, Marietta, GA 30060-2134 | 2016-09-11 |
| 1609243294 | Doris Whitworth | Counselor | 253 Sequoia Dr Ne, Marietta, GA 30060-7215 | 2015-08-31 |
| 1932576501 | Shaquana Smith | Counselor | 1640 Powers Ferry Rd Se Bldg 5-110, Marietta, GA 30067-9474 | 2015-08-30 |
| 1245622513 | Mysia Prickett | Counselor | 904 Arbor Forest Lndg Sw, Marietta, GA 30064-2865 | 2015-02-24 |
| 1790037745 | Marie Carmelle Jeanlouis | Counselor | 538 Russett Ct Sw, Marietta, GA 30064-4644 | 2012-10-15 |
| 1114204112 | Latosha Juanette Lornes | Counselor | 510 Bill Halstied St, Marietta, OK 73448-2646 | 2011-11-04 |
| 1376829622 | Miranda S Smith | Counselor | 1640 Powers Ferry Rd Bldg 3, 200, Marietta, GA 30067-5491 | 2011-11-01 |
| Find all providers in MARIETTA | ||||
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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.