MS. LAURA J RUSSELL (NPI# 1679818074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679818074 |
| Entity Type | Individual |
| Full Name | MS. LAURA J RUSSELL |
| Other Name | LAURA J MACKENZIE |
| Credential | LLPC |
| Practice Address |
29 Millard Farmer Ind Blvd Suite B1 Newnan GA 30263-5821 |
| Mailing Address |
Po Box 73972 Newnan GA 30271-3972 |
| Practice Telephone | 6784359949 |
| Mailing Telephone | 6784359949 |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2016-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 008111 | GA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
6401012348 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477098820 | Laura Russell | Dietitian, Registered | 9801 Grandview Estates Dr, Suite 104, Saint Louis, MO 63127-0029 | 2016-12-21 |
| 1386074375 | Laura E Russell | Physician Assistant | 15 S 8th St Ste 200, Indiana, PA 15701-2776 | 2013-11-12 |
| 1689608523 | Laura Christine Russell | Dietitian, Registered | 7701 York Ave S Ste 189, Endocrinology Clinic of Minneapolis, Edina, MN 55435-5238 | 2006-07-10 |
| 1396377917 | Laura Renay Russell | Counselor | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2020-02-11 |
| 1134680937 | Laura Russell | Student in an Organized Health Care Education/Training Program | 2301 Holmes St, Kansas City, MO 64108-2640 | 2019-03-26 |
| 1609230713 | Laura Russell | Student in an Organized Health Care Education/Training Program | 470 Main St, Mashpee, MA 02649-2047 | 2016-04-06 |
| 1285092288 | Laura Ann Russell | Speech-Language Pathologist | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2016-02-04 |
| 1992125744 | Laura Noelle Russell | Pediatrics | Division of Neonatology, 2200 Childrens Way, Nashville, TN 37232 | 2014-04-21 |
| 1710261110 | Laura Michelle Russell | Pharmacist | 3001 E Market St, Greensboro, NC 27405-7525 | 2011-10-04 |
| 1972891885 | Laura Kathryn Russell | Emergency Medical Technician, Paramedic | 1755 Kirby Pkwy Ste 330, Memphis, TN 38120-4398 | 2011-07-12 |
| Street Address |
29 MILLARD FARMER IND BLVD SUITE B1 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263-5821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740497841 | Ralph D Davis | Chiropractor | 29 Millard Farmer Ind Blvd, Suite A1, Newnan, GA 30263-5821 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
| Find all providers in zip 30263 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003459843 | Sarah Elizabeth Novak | Counselor | 59 Hospital Rd # 1209, Newnan, GA 30263-1209 | 2019-10-24 |
| 1891207999 | Thomas B. Jennings Jr. | Counselor | 75 1st Ave, Newnan, GA 30263-2726 | 2017-10-30 |
| 1659663086 | Beverly Harris | Counselor | 4046 Highway 154 Ste 114, Newnan, GA 30265-2330 | 2011-05-03 |
| 1831210137 | Leslie Middleton Walters | Counselor | 37 Calumet Pkwy # J, Newnan, GA 30263-6734 | 2007-04-03 |
| 1750359683 | Tamara Nichole Woods | Counselor | 770 Greison Trl, Suite A, Newnan, GA 30263-6408 | 2006-03-08 |
| 1336511229 | The Wellness Counselors, LLC | Counselor | 197 Jefferson Pkwy, Newnan, GA 30263-5823 | 2015-10-30 |
| 1568786135 | Herschel Lee Abbott IIi | Counselor | 14 Brown St, Suite 5, Newnan, GA 30263-2031 | 2010-03-25 |
| 1306049077 | Thomas Keith Hill | Counselor | 225 Millard Farmer Ind Blvd, Newnan, GA 30263 | 2007-06-08 |
| 1245351576 | J'netra Brown Mcwilliams | Counselor | 37 Calumet Pkwy # J, Suite 201, Newnan, GA 30263-6734 | 2007-04-03 |
| 1689795973 | Abraham P Ross Jr. | Counselor | 37 Calumet Pkwy # J, Suite 201, Newnan, GA 30263-6734 | 2007-04-03 |
| Find all providers in NEWNAN | ||||
Please comment or provide details below to improve the information on MS. LAURA J RUSSELL.
| 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.