AMBER HICKOK (NPI# 1649741018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649741018 |
| Entity Type | Individual |
| Full Name | AMBER HICKOK |
| Credential | LAPC |
| Practice Address |
424 N Main St Cedartown GA 30125-2644 |
| Mailing Address |
1401 Applewood Dr Ste 1 Dalton GA 30720-2699 |
| Practice Telephone | 7707482225 |
| Practice Fax Number | 7062705111 |
| Mailing Telephone | 7062705033 |
| Mailing Fax Number | 7062705111 |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
APC006789 | GA | Behavioral Health & Social Service Providers |
| Street Address |
424 N MAIN ST |
| City | CEDARTOWN |
| State | GA |
| Zip Code | 30125-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043860398 | Lorraine Louise Kennedy | Technician | 424 N Main St, Cedartown, GA 30125-2644 | 2019-09-18 |
| 1538534169 | Angela Williams | Case Manager/Care Coordinator | 424 N Main St, Cedartown, GA 30125-2644 | 2015-12-08 |
| 1447625587 | Cindy Roberson | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-12-01 |
| 1013381136 | Donna Trotter | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-12-01 |
| 1073987103 | Michael Atwater | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-12-01 |
| 1063886232 | Ronni Michelle Heard | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-11-25 |
| 1164896320 | Sharon Crowder | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-11-25 |
| 1811361082 | Andrea Barrentine | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-11-25 |
| 1801260062 | Robin Deshone Moore | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-11-25 |
| 1497129647 | Charity Prater | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244607 | Ryan Ray Beck | Psychologist | 243 E. Girard Avenue, Cedartown, GA 30125 | 2008-12-30 |
| 1619156981 | Pamela Diane Hearn | Family Medicine | 2370 Rockmart Hwy Ste 100, Cedartown, GA 30125 | 2007-11-02 |
| 1962571786 | David Gandy | Dentist | 109 East Ave, Cedartown, GA 30125 | 2006-11-07 |
| 1255444519 | Cedartown Radiology Group | Radiology | 424 North Main St, Cedartown, GA 30125 | 2006-08-17 |
| 1255822771 | Hannah Bell Helton | Nurse Practitioner | 2360 Rockmart Hwy, Cedartown, GA 30125 | 2018-05-21 |
| 1417168808 | Terri Lynn Willis | Dentist | 113 Plantation Ave, Suite A, Cedartown, GA 30125 | 2007-05-25 |
| 1427193812 | Benjamin Stratman Anderson Jr. | Family Medicine | 812 S Main St, Cedartown, GA 30125-0508 | 2007-02-21 |
| 1972760197 | Jerry Octave Weaver | Community Health Worker | 215 Fair Oaks Rd, Cedartown, GA 30125-2011 | 2008-05-16 |
| 1346302387 | Mary Scott Worthington | Case Manager/Care Coordinator | 340 Lakeview Dr, Cedartown, GA 30125-2019 | 2006-12-15 |
| 1639606049 | Kayla Benton | Family Medicine | 1025 N Main St, Cedartown, GA 30125-2036 | 2017-05-16 |
| Find all providers in zip 30125 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831473792 | Clinic of Divine Health | Counselor | 1014 Jones St, Cedartown, GA 30125-3918 | 2011-10-10 |
| 1316503311 | Tia Smith | Counselor | 740 Fletcher St, Cedartown, GA 30125-3249 | 2019-05-15 |
| 1174094858 | Chase Tarleton | Counselor | 740 Fletcher St, Cedartown, GA 30125-3249 | 2018-12-06 |
| 1033685524 | Toni-marie Bryan | Counselor | 740 Fletcher St, Cedartown, GA 30125-3249 | 2018-10-23 |
| 1417322124 | Amber Waters | Counselor | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2015-12-07 |
| 1003280116 | Cathy Puckett | Counselor | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2015-12-01 |
| 1417321571 | Kimberly Smith | Counselor | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2015-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780859 | Jennifer Lynn Fedderick | Counselor | 459 Thrasher Rd, Plains, GA 31780-5310 | 2020-11-04 |
| 1376144766 | Arlicia Lagene Johnson | Counselor | 220 Osmanthus Way, Canton, GA 30114-7197 | 2020-11-03 |
| 1558962027 | Evan Kauper | Counselor | 2002 Smith Dr Nw, Kennesaw, GA 30144-1851 | 2020-11-02 |
| 1801496864 | Poonam A Patel | Counselor | 2916 Clairmont Rd Ne Apt 2413, Brookhaven, GA 30329-4476 | 2020-10-29 |
| 1740880061 | Pledger Behavior Consulting, LLC | Counselor | 7563 Highway 337, Summerville, GA 30747-6101 | 2020-10-27 |
| 1801495411 | Bianca Tiara Abrams | Counselor | 916 Glenwood Park Dr Se, Atlanta, GA 30316-6845 | 2020-10-23 |
| 1780283713 | Stacey Dougan | Counselor | 696 Mountain Dr Ne, Atlanta, GA 30342-3904 | 2020-10-21 |
| 1619576865 | Therapy Pond, LLC | Counselor | 1262 Concord Rd Se Ste 200, Smyrna, GA 30080-5307 | 2020-10-20 |
| 1164021259 | Miracles Outreach International | Counselor | 6825 Jimmy Carter Blvd Ste 1570b, Norcross, GA 30071-1215 | 2020-10-20 |
| 1699374025 | Alexxis Trimmings | Counselor | 205 W Montgomery Xrd Apt 106, Savannah, GA 31406-7121 | 2020-10-17 |
| Find all providers with the same taxonomy | ||||
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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.