VIKKI PAESE (NPI# 1629439716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629439716 |
| Entity Type | Individual |
| Full Name | VIKKI PAESE |
| Other Name | VIKKI JOY CANNARELLA |
| Practice Address |
2200 Price Rd Martin GA 30557-3457 |
| Practice Telephone | 7067795766 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
APC004942 | 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 |
| 1558809822 | Ernest Prow IIi | Counselor | 2200 Price Rd, Martin, GA 30557-3457 | 2017-02-07 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1760752364 | George Fred Deaton | Counselor | 920 University St, Martin, TN 38237-1605 | 2012-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1780284513 | Hogue Counseling and Consulting Services, LLC | Counselor | 7861 Waterlace Dr, Fairburn, GA 30213-4648 | 2020-10-30 |
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VIKKI PAESE.
| 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.