MARY BEAVERS (NPI# 1639603129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639603129 |
| Entity Type | Individual |
| Full Name | MARY BEAVERS |
| Credential | LPC |
| Practice Address |
2615 Cleveland Hwy Dalton GA 30721-8160 |
| Mailing Address |
1401 Applewood Dr Suite 1 Dalton GA 30720-2699 |
| Practice Telephone | 7062705000 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC001997 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2615 CLEVELAND HWY |
| City | DALTON |
| State | GA |
| Zip Code | 30721-8160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164585550 | Highland Rivers Csb | Community/Behavioral Health | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2006-12-18 |
| 1013491588 | Mary Greenway | Community Health Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2018-09-20 |
| 1568812683 | Jacob Jackson | Community Health Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-06-20 |
| 1811347933 | Gail Barton | Community Health Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-06-20 |
| 1700232766 | Kristin Anna-marie Burchett | Social Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-05-09 |
| 1659725117 | Jordan Cooper | Case Manager/Care Coordinator | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-04-20 |
| 1467806927 | Jelisa Burse | Case Manager/Care Coordinator | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-04-20 |
| 1568816023 | Amanda Moses | Case Manager/Care Coordinator | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-04-20 |
| 1164897633 | Ray Cook | Counselor | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2015-12-09 |
| 1619342102 | Sarah Moore | Counselor | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2015-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780211094 | Chiara Ann Zigray | Counselor | 1375 Huntington Ln, Dalton, PA 18414-9164 | 2020-03-25 |
| 1821542614 | Esperanza Counseling Services, LLC | Counselor | 415 E Walnut Ave, Suite 112, Dalton, GA 30721-4406 | 2016-08-09 |
| 1114389632 | Rachel Hannah Laskowske | Counselor | 607 S Thornton Ave, Dalton, GA 30720-8287 | 2016-03-23 |
| 1245696558 | Amy Renee Long | Counselor | 2406 Cleveland Hwy, Suite 305, Dalton, GA 30721-8155 | 2016-01-04 |
| 1750789533 | Rochelle Legare | Counselor | 302 S Thornton Ave, Dalton, GA 30720-8268 | 2014-12-10 |
| 1700225729 | Ronald Edward Ward Jr. | Counselor | 1506 N Thornton Ave, Suite D, Dalton, GA 30720-8515 | 2013-06-24 |
| 1558622704 | Jenny L Wilhoite | Counselor | 2109 Cleveland Hwy, Dalton, GA 30721-8149 | 2012-06-05 |
| 1932429933 | Stephen M. Davis | Counselor | 1622 Hickory St, Suite 304, Dalton, GA 30720-8350 | 2010-06-02 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1760685762 | Dalton Counseling Service, Inc. | Counselor | 311 Point North Pl, Suite 6, Dalton, GA 30720-2654 | 2007-06-07 |
| Find all providers in DALTON | ||||
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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.