CANDACE BROOKE STARKS


Address: 5280 Woodland Pass Cir, Stone Mountain, GA 30087-2223
Phone: 4042859259

CANDACE BROOKE STARKS (NPI# 1649630385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649630385
Entity Type Individual
Full Name CANDACE BROOKE STARKS
Credential LPC
Practice Address 5280 Woodland Pass Cir
Stone Mountain
GA 30087-2223
Practice Telephone 4042859259
Mailing Telephone 4042859259
Enumeration Date 2016-02-23
Last Update Date 2020-01-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
LPC008327 GA Behavioral Health & Social Service Providers

Office Location

Street Address 5280 WOODLAND PASS CIR
City STONE MOUNTAIN
State GA
Zip Code 30087-2223

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477176394 Optimal Choice Telehealth General Practice 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 2020-05-27
1245882943 Lynell Williams Counselor 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 2019-07-12
1003302688 Mark Andrew Stevens Physical Therapist 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 2018-07-06
1154816825 Tuan Minh Khong Physician Assistant 6301 Southland Rdg, Stone Mountain, GA 30087 2018-06-26
1215429881 Stephanie Martin Nurse Practitioner 2720 S Rockbridge Rd, Stone Mountain, GA 30087 2018-05-30
1578979381 Edmund Thomas Jr. Dentist 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 2014-07-02
1790027688 Robert Fanning Eaves Jr. General Practice 5394 Leatherstocking Lane, Stone Mountain, GA 30087 2013-03-19
1609128917 Mary Marlene Muse Lactation Consultant, Non-RN 510 Navarre Drive, Stone Mountain, GA 30087 2012-10-10
1457680704 Cleo Evans Counselor 5638 Manassas Run, Stone Mountain, GA 30087 2009-12-16
1932348521 Lawrence Randy Sheber Dentist 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 2009-02-05
Find all providers in zip 30087

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588276703 Calvangi LLC Counselor 4796 Manly Ct, Stone Mountain, GA 30088-3623 2020-08-19
1114540911 Dana Jennings Counselor 1505 Ashbrooke Trce, Stone Mountain, GA 30083-1306 2020-05-27
1093350761 Cierra Harris Counselor 221 Scenic View Ln, Stone Mountain, GA 30087-6193 2019-11-16
1124598248 Barbara Ann Sims-king Counselor 1005 Summit Lake Dr, Stone Mountain, GA 30083-6946 2018-12-01
1619411634 Maria Joy Cauley Counselor 1505 Lilburn Stone Mountain Rd Ste 235, Stone Mountain, GA 30087-1857 2016-12-09
1518327360 Nikkiya D Brooks Counselor 4473 Thornwood Trl, Stone Mountain, GA 30083-5394 2016-03-07
1134501372 Sharalynn Simmons Counselor 824 Arbor Hill Dr, Stone Mountain, GA 30088-2365 2015-06-24
1609253863 Martin Mcquilkin Counselor 1988 Lilburn Stone Mountain Rd, Stone Mountain, GA 30087-1722 2015-04-27
1225474141 Richard Gerson Counselor 237 Villa Park Cir, Stone Mountain, GA 30087-6778 2013-05-18
1174864714 Antita Carter Counselor 1050 Redan Trce, Stone Mountain, GA 30088-2900 2013-03-06
Find all providers in STONE MOUNTAIN

Competitor

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City STONE MOUNTAIN
Zip Code 30087

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Dataset Information

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.

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