MRS. TRILLA DORSEY PRUITT (NPI# 1700025384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700025384 |
| Entity Type | Individual |
| Full Name | MRS. TRILLA DORSEY PRUITT |
| Credential | LPC |
| Practice Address |
42 North Ave Cleveland GA 30528-1397 |
| Practice Telephone | 7063488674 |
| Mailing Telephone | 7063488674 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | LPC005278 | GA | Other Service Providers |
| Street Address |
42 NORTH AVE |
| City | CLEVELAND |
| State | GA |
| Zip Code | 30528-1397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073751814 | Joanne Todd Duvall | Counselor | 42 North Ave, Suite 100, Cleveland, GA 30528-1397 | 2009-02-02 |
| 1124569801 | Natalie Ford | Counselor | 42 North Ave, Cleveland, GA 30528-1397 | 2017-03-15 |
| 1427390566 | Amanda Long Duncan | Social Worker | 42 North Ave, Suite 100, Cleveland, GA 30528-1397 | 2013-03-26 |
| 1790036317 | Alecia Kidd | Marriage & Family Therapist | 42 North Ave, Cleveland, GA 30528-1397 | 2012-09-21 |
| 1376830844 | Lisa Shurtleff | Counselor | 42 North Ave, Suite 100, Cleveland, GA 30528-1397 | 2011-07-06 |
| 1194017335 | Paula Jean Rajczak | Counselor | 42 North Ave, Suite 100, Cleveland, GA 30528-1397 | 2011-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780154914 | Syah, LLC | Internal Medicine | 142 Parkway Plaza, Cleveland, GA 30528 | 2018-11-30 |
| 1528478328 | Cleveland Drug Co Inc | Pharmacy | 184 West Kytle Street, Suite A, Cleveland, GA 30528 | 2014-05-01 |
| 1467738377 | Dr. Don Robbins Inc. | Optometrist | 514 West Kytle St., Cleveland, GA 30528 | 2011-10-25 |
| 1902080138 | Dr. Don Robbins Inc | Optometrist | 514 W Kytle St., Cleveland, GA 30528 | 2007-12-24 |
| 1013101617 | Abbastar, Inc | Chiropractor | 783 S. Main St., Suite 10, Cleveland, GA 30528 | 2007-08-28 |
| 1023210044 | Peachtree Pharmacy Services | Pharmacist | 1018 South Main Str, Hwy 129 Suite A, Cleveland, GA 30528 | 2007-06-01 |
| 1285767053 | The Hospital Authority of Habersham County | Family Medicine | 17 White Street, Cleveland, GA 30528 | 2007-03-13 |
| 1568591113 | Clare Stinespring | Physical Therapist | 34 Courthouse Square, Cleveland, GA 30528 | 2007-03-02 |
| 1811038359 | Joanne Holt Edmondson | Counselor | 42 North Avenue Suite 100, Cleveland, GA 30528 | 2007-02-09 |
| 1700931037 | Associates of Family Dentistry | Dentist | 549 South Main St, Cleveland, GA 30528 | 2007-01-25 |
| Find all providers in zip 30528 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606755 | Kathy Ann Miller | Case Manager/Care Coordinator | 296 Colony Ln Nw, Cleveland, TN 37312-6411 | 2020-10-14 |
| 1437766243 | Marie L Clay | Case Manager/Care Coordinator | 8200 Rosewood Ave # Up, Cleveland, OH 44105-6683 | 2020-09-25 |
| 1073123311 | King Malone IIi | Case Manager/Care Coordinator | 1193 E 172nd St, Cleveland, OH 44119-3153 | 2020-08-02 |
| 1750990727 | Reginald Bagley I | Case Manager/Care Coordinator | 2728 Euclid Ave Ste 4004th, Cleveland, OH 44115-2429 | 2020-07-27 |
| 1497364681 | James Gordon | Case Manager/Care Coordinator | 896 E 73rd St, Cleveland, OH 44103-1792 | 2020-07-24 |
| 1558988204 | Jamil Brooks | Case Manager/Care Coordinator | 23612 Mccann St, Cleveland, OH 44128-5250 | 2020-06-29 |
| 1629692801 | Theodore Williams Iv | Case Manager/Care Coordinator | 7271 Engle Rd Ste 207, Cleveland, OH 44130-8404 | 2020-06-03 |
| 1629690920 | Vincent Van Johnson | Case Manager/Care Coordinator | 17325 Euclid Ave Ste 4028, Cleveland, OH 44112-1270 | 2020-05-11 |
| 1932728508 | Janayia Thompson | Case Manager/Care Coordinator | 12395 Mccracken Rd # A-up, Cleveland, OH 44125-2967 | 2020-04-13 |
| 1942836309 | Shirley Tucker | Case Manager/Care Coordinator | 2728 Euclid Ave, Cleveland, OH 44115-2429 | 2020-03-18 |
| Find all providers in CLEVELAND | ||||
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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.