MRS. MARTHA HARRELL FENNELL


Address: 265 Orange St, Macon, GA 31201-1646
Phone: 4783612601

MRS. MARTHA HARRELL FENNELL (NPI# 1699099572) 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) 1699099572
Entity Type Individual
Full Name MRS. MARTHA HARRELL FENNELL
Credential LMFT
Practice Address 265 Orange St
Macon
GA 31201-1646
Practice Telephone 4783612601
Mailing Telephone 4783612601
Enumeration Date 2010-03-21
Last Update Date 2010-03-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist MFT001148 GA Behavioral Health & Social Service Providers

Office Location

Street Address 265 ORANGE ST
City MACON
State GA
Zip Code 31201-1646

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NPI Name Taxonomy Address Enumeration
1639666340 Yasameen Emad Muzahim Internal Medicine 777 Hemlock Street, Msc 165, Macon, GA 31201 2018-04-18
1952819419 Putnam Dialysis LLC Clinic/Center 657 Hemlock Street, Suite 200, Macon, GA 31201 2018-01-18
1730604331 Graham Arthur Mercier Surgery 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 2017-08-04
1376075705 Diamond Jude Internal Medicine 777 Hemlock Street Msc #104, Macon, GA 31201 2017-04-03
1174055263 Carol Roobin Bashuk Hearing Instrument Specialist 634 First Street, Macon, GA 31201 2017-03-29
1144752411 Hubert Pare Student in an Organized Health Care Education/Training Program 777 Hemlock Street, Msc# 165, Macon, GA 31201 2017-03-28
1548613789 Michael Daugherty Counselor 1873 Hardeman Ave, Suite 1, Macon, GA 31201 2016-07-22
1316317993 4front Healthcare of Middle Georgia, LLC Hospice Care, Community Based 682 1st St, Macon, GA 31201 2015-09-25
1881073054 Andrew Lee Drahos Surgery 777 Hemlock St # 140, Macon, GA 31201 2015-05-21
1720474158 April Nicole Colley Nurse Practitioner 1014 Forsyth Street, Macon, GA 31201 2015-04-13
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902448681 Alicia Roberts Marriage & Family Therapist 2607 Vineville Ave Ste 101, Macon, GA 31204-0900 2019-10-14
1184271561 Kathlyn Wohlrabe Marriage & Family Therapist 3780 Bloomfield Village Dr Ste 1, Macon, GA 31206-0806 2019-08-21
1710487269 Blue Cedar Counseling Marriage & Family Therapist 3263 Vineville Ave, Macon, GA 31204-2343 2018-02-20
1992176952 Kerisia Wasztyl Marriage & Family Therapist 4691 Pine Valley Dr, Macon, GA 31210 2015-10-15
1316222946 Gerri A Robbins Marriage & Family Therapist 577 Mulberry St, Suite 1000, Macon, GA 31201-2728 2011-10-14
1104061548 Mary Elizabeth Key Marriage & Family Therapist 577 Mulberry St Ste 1000, Macon, GA 31201-8225 2008-12-15
1275778631 Gerald P Allums Marriage & Family Therapist 277 Martin Luther King Jr Blvd Ste 203, Macon, GA 31201-3498 2008-12-12
1518125657 Jennifer Burns Marriage & Family Therapist 116 Pierce Avenue, Macon, GA 31204 2008-05-27
1659589356 Cesar A Dumelod Marriage & Family Therapist 310 Ashville Ct, Macon, GA 31210-1669 2007-05-18
1205042850 Renee L Sullivan Marriage & Family Therapist 153 Marcar Rd, Macon, GA 31216-5929 2007-05-14
Find all providers in MACON

Competitor

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City MACON
Zip Code 31201

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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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