LOVE, BREANNA OLIVIA ZION ENTERPRISE,LLC(LBOZ): (NPI# 1699376160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699376160 |
Entity Type | Organization |
Organization Name | LOVE, BREANNA OLIVIA ZION ENTERPRISE,LLC(LBOZ): |
Practice Address |
9802 N Ivy Park Dr Fortson GA 31808-7130 |
Mailing Address |
1985 W Henderson Road #2223 Columbus OH 43220 |
Practice Telephone | 6144037089 |
Mailing Telephone | 6144037089 |
Enumeration Date | 2020-11-02 |
Last Update Date | 2020-11-02 |
Authorized Official Name | BRENNA LOVE-COSBY (CEO) |
Authorized Official Telephone | 6144037089 |
Authorized Official Credential | LICENSED SOCIAL |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
9802 N IVY PARK DR |
City | FORTSON |
State | GA |
Zip Code | 31808-7130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780015610 | Robert G. Wallace | Radiology | 1130 Goat Rock Road, Fortson, GA 31808 | 2013-12-03 |
1952599623 | Valley Healthcare System Inc | Clinic/Center | 94 Mccrary Road, Fortson, GA 31808 | 2007-10-09 |
1649885609 | Amber Love | Counselor | 10208 Whitesville Rd, Fortson, GA 31808-2623 | 2020-09-15 |
1104356443 | Laurie Wylie | Psychologist | 107 Twin Oaks Ct, Fortson, GA 31808-4479 | 2017-06-19 |
1477576635 | Richard E Wood Jr. | Family Medicine | 94 Mccrary Rd, Fortson, GA 31808-4558 | 2006-07-26 |
1063725745 | Shaunta' Shawan King | Dentist | 94 Mccrary Rd, Fortson, GA 31808-4558 | 2010-07-22 |
1093883878 | Lavon Thurman | Family Medicine | 94 Mccrary Rd, Fortson, GA 31808-4558 | 2006-12-01 |
1780174698 | William Henry Singleton | Physical Therapy Assistant | 398 Sputnik St, Fortson, GA 31808-5120 | 2018-05-16 |
1205448032 | Leona Ramsey Dorsey | Case Manager/Care Coordinator | 19 Shearwater Dr, Fortson, GA 31808-5316 | 2020-08-22 |
1497749626 | Judy R Barnett | Nurse Anesthetist, Certified Registered | 172 Almond Ridge Dr, Fortson, GA 31808-6823 | 2005-09-02 |
Find all providers in zip 31808 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
1760004758 | Circle of Therapeutic Alliance and Consulting, LLC | Community/Behavioral Health | 159 Burke St Ste 250, Stockbridge, GA 30281-3430 | 2020-05-12 |
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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.