CYNTHIA RUSSELL (NPI# 1689228074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689228074 |
Entity Type | Individual |
Full Name | CYNTHIA RUSSELL |
Credential | LCSW |
Practice Address |
911 N Tennessee St Ste 107 Cartersville GA 30120-2490 |
Mailing Address |
2540 Ridgecrest Dr Nw Kennesaw GA 30152-3439 |
Practice Telephone | 7704509800 |
Mailing Telephone | 7708646847 |
Enumeration Date | 2019-07-24 |
Last Update Date | 2019-07-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
CSW005766 | GA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942494042 | Cynthia L. Russell | Physical Therapist | 810 Saint Louis Rd, Fulton, MO 65251-2258 | 2007-08-31 |
1770605412 | Cynthia Rae Russell | Dentist | 3294 Royal Dr Ste 103, Cameron Park, CA 95682-8503 | 2007-04-04 |
1760926125 | Cynthia Reed Russell | Nurse Practitioner | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2016-12-05 |
1174828115 | Cynthia Lee Russell | Physical Therapy Assistant | 156 Route 302, Pine Bush, NY 12566-7130 | 2011-01-24 |
1447552963 | Cynthia Russell | Physician Assistant | 129 Saint Nicholas Ave, Brooklyn, NY 11237-4039 | 2010-12-04 |
1730413477 | Cynthia E Russell | Social Worker | 813 Fay Rd, Syracuse, NY 13219-3009 | 2009-09-29 |
1427270875 | Cynthia P Russell | Contractor | 2225 Main St, Stratford, CT 06615-5920 | 2007-05-03 |
1053489450 | Cynthia Marie Russell | Social Worker | 460 Briargate Dr, Suite 700, South Elgin, IL 60177-2227 | 2006-12-01 |
1295817229 | Cynthia Clair Russell | Dentist | 5017 Leavenworth St, Suite 2, Omaha, NE 68106-1438 | 2006-10-19 |
1801800826 | Cynthia Russell | Counselor | 1100 K Ave, La Grande, OR 97850-2131 | 2006-07-27 |
Street Address |
911 N TENNESSEE ST STE 107 |
City | CARTERSVILLE |
State | GA |
Zip Code | 30120-2490 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
Find all providers in zip 30120 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083183966 | David Thornton Orr | Counselor | 5 S Public Sq Ste 104, Cartersville, GA 30120-3354 | 2018-11-20 |
1639543887 | Courtney King Moore | Counselor | 650 Henderson Dr Ste 432, Cartersville, GA 30120-3760 | 2015-11-25 |
1902270234 | Bradley Gilmore | Counselor | 1 Goodyear Ave, Cartersville, GA 30120-2587 | 2015-11-24 |
1063784981 | Erin M Jones | Counselor | 30 Duncan Dr Sw, Cartersville, GA 30120-5871 | 2012-02-08 |
1265753529 | Allison Caffyn | Counselor | 12 S Erwin St Ste 1, Cartersville, GA 30120-3560 | 2010-06-21 |
1548479850 | Martha Mercedes Mejia-gordy | Counselor | 213 S Erwin St, Cartersville, GA 30120-3513 | 2007-05-22 |
1619033172 | Marissa Beth Namirr | Counselor | 650 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-3962 | 2006-12-29 |
1649347931 | Family Couseling and Recovery Center Inc | Counselor | 317 Grassdale Road, Cartersville, GA 30120-9014 | 2006-11-29 |
1972608198 | Pamela Flynn Crowe | Counselor | 18 S Erwin St, Cartersville, GA 30120-3502 | 2006-09-13 |
1386113363 | Sarah Sokal | Counselor | 650 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-3962 | 2018-11-19 |
Find all providers in CARTERSVILLE |
City | CARTERSVILLE |
Zip Code | 30120 |
Please comment or provide details below to improve the information on CYNTHIA 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.