JAMILAH TETTERTON (NPI# 1669975009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669975009 |
| Entity Type | Individual |
| Full Name | JAMILAH TETTERTON |
| Credential | LPC, NCC |
| Practice Address |
4006 Holcomb Bridge Rd Ste 210 Norcross GA 30092-1814 |
| Mailing Address |
4373 Crofton Overlook Suwanee GA 30024-6906 |
| Practice Telephone | 6784444505 |
| Mailing Telephone | 6783010730 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
009412 | GA | Behavioral Health & Social Service Providers |
| Street Address |
4006 HOLCOMB BRIDGE RD STE 210 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30092-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083172035 | Tebo Dentistry for Kids Peachtree Corners, LLC | Clinic/Center | 6460 Spalding Drive, Suite C, Peachtree Corners, GA 30092 | 2019-03-08 |
| 1043794472 | Cai Hong Senior Services Inc | Clinic/Center | 4093 Spalding Hollow, Peatree Corners, GA 30092 | 2018-09-21 |
| 1952810566 | Children In Motion Therapy Services LLC | Occupational Therapist | 5655 Peachtree Pkwy Ste 117, Norcross, GA 30092 | 2017-09-26 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1346769593 | Global Diagnostic Labs, LLC | Pathology | 3240 Pointe Pkwy Ste 200, Norcross, GA 30092 | 2017-09-19 |
| 1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
| 1598205239 | Iwc East LLC | Internal Medicine | 40 Technology Parkway, #300, Norcross, GA 30092 | 2017-02-28 |
| 1851744254 | Lms Surgical Services | Specialist/Technologist, Other | 6050 Peachtree Pkwy Suite240-358, Norcross, GA 30092 | 2016-07-20 |
| 1881085603 | A Hand To Hold | Home Health | 3459 Holcomb Bridge Rd., Suite 100, Peachtree Corners, GA 30092 | 2015-02-16 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| Find all providers in zip 30092 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1720558836 | Annie Mcfadden | Counselor | 4652 Sagemont Ct, Norcross, GA 30093-4768 | 2018-12-01 |
| 1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| 1295185742 | Kateece Freeman | Counselor | 6082 Tennyson Park Way, Norcross, GA 30092-3378 | 2016-06-15 |
| 1093186231 | Brave Tomorrow Counseling and Consulting | Counselor | 4121 Steve Reynolds Blvd Ste 202, Norcross, GA 30093-3060 | 2015-10-14 |
| 1326451667 | Melissa Brown | Counselor | 6015 Atlantic Blvd, Norcross, GA 30071-1343 | 2014-06-04 |
| 1275806382 | Miriam Del Carmen Gomez | Counselor | 5855 Jimmy Carter Blvd Ste 170, Norcross, GA 30071-4610 | 2012-02-21 |
| 1417230038 | Donna Marie Wade | Counselor | 5696 Peachtree Pkwy, Norcross, GA 30092-2855 | 2011-09-20 |
| 1881928216 | Sutherland Psychotherapy Associates, LLC | Counselor | 4989 Peachtree Pkwy Ste 220, Norcross, GA 30092-2589 | 2009-10-02 |
| Find all providers in NORCROSS | ||||
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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.