MARISSA MULLINS (NPI# 1609310382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609310382 |
| Entity Type | Individual |
| Full Name | MARISSA MULLINS |
| Credential | LPC |
| Practice Address |
829 Fairways Ct Stockbridge GA 30281-7219 |
| Mailing Address |
132 Scenic View Ct Atlanta GA 30339-3666 |
| Practice Telephone | 4045006338 |
| Mailing Telephone | 4042451406 |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC010331 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878919 | Marissa L Mullins | Nurse Practitioner | N17w24100 Riverwood Dr, Waukesha, WI 53188-1127 | 2020-10-09 |
| Street Address |
829 FAIRWAYS CT |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-7219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669000519 | Ana Carina Ordaz | Counselor | 829 Fairways Ct, Stockbridge, GA 30281-7219 | 2020-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| 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 |
|---|---|---|---|---|
| 1356814727 | Ecclesia Savage | Counselor | 829 Fairways Ct Ste 210, Stockbridge, GA 30281-7219 | 2019-01-08 |
| 1437675972 | Tina Bonds | Counselor | 20 Country Place Ct, Stockbridge, GA 30281-1367 | 2017-08-16 |
| 1124560834 | Charleka Kelley | Counselor | 301 Country Club Dr, Stockbridge, GA 30281-7350 | 2016-11-11 |
| 1194188250 | Linda Susan Williams | Counselor | 135 Glynn Addy Dr, Stockbridge, GA 30281-7639 | 2016-04-05 |
| 1073924916 | Grequenceo Coger | Counselor | 1817 Saint Ives Xing, Stockbridge, GA 30281-9011 | 2014-05-14 |
| 1871837542 | Tina Nechelle Aldridge | Counselor | 633 Glenwood Way, Stockbridge, GA 30281-9050 | 2012-11-20 |
| 1982968277 | Nona A Lindberg | Counselor | 20 Lee Rd, Stockbridge, GA 30281-2516 | 2012-07-02 |
| 1609161041 | Saheedah Henriques | Counselor | 1133 Eagles Landing Pkway, Stockbridge, GA 30281 | 2011-06-14 |
| 1558676023 | Malochee Joseph | Counselor | 403 Azure Ct, Stockbridge, GA 30281-7005 | 2010-08-09 |
| 1740503903 | Omi J Dobbins | Counselor | 159 Burke St, Suite 202, Stockbridge, GA 30281-3430 | 2010-03-02 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.