MARK ELLISON (NPI# 1730427063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730427063 |
| Entity Type | Individual |
| Full Name | MARK ELLISON |
| Credential | LAMFT |
| Practice Address |
2655 Dallas Hwy Sw Suite 310 Marietta GA 30064-2597 |
| Practice Telephone | 7708568393 |
| Mailing Telephone | 7708568393 |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | AMFT000182 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215271234 | Mark T Ellison | Chiropractor | 761 Lakeland Ct, Carmel, IN 46032-1205 | 2012-11-15 |
| 1952509424 | Mark Allen Ellison | Optometrist | 422 W Bethalto Dr, Bethalto, IL 62010-1700 | 2007-07-06 |
| 1265431092 | Mark Frederick Ellison | Urology | 2142 W Broad St, Building 200, Suite 200, Athens, GA 30606-3506 | 2005-07-14 |
| Street Address |
2655 DALLAS HWY SW SUITE 310 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740212240 | Mohsin M. Hisamuddin | Internal Medicine | 2655 Dallas Hwy Sw, Suite 340, Marietta, GA 30064-2597 | 2006-07-06 |
| 1255867164 | Kimbro Henson Burnett | Counselor | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2017-05-11 |
| 1790219103 | Ps Dds | Dentist | 2655 Dallas Hwy Sw, 510, Marietta, GA 30064-2597 | 2017-04-13 |
| 1851765994 | Tara Haynes Jiminez | Counselor | 2655 Dallas Hwy Sw, Suite 520, Marietta, GA 30064-2597 | 2015-11-29 |
| 1134500598 | Heidi Zaffos | Counselor | 2655 Dallas Hwy Sw, Suite 240, Marietta, GA 30064-2597 | 2015-06-11 |
| 1811323488 | Jordan Kendrick Simmons Gilligan | Speech-Language Pathologist | 2655 Dallas Hwy Sw, Suite 320, Marietta, GA 30064-7579 | 2013-09-16 |
| 1003183492 | Teresa Cress | Counselor | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2011-11-29 |
| 1518243724 | Christina Ann Hunt | Speech-Language Pathologist | 2655 Dallas Hwy Sw, Suite 320, Marietta, GA 30064-2597 | 2011-11-01 |
| 1861799629 | William Edward Adams | Counselor | 2655 Dallas Hwy Sw, Suite 610, Marietta, GA 30064-2597 | 2011-02-14 |
| 1063717197 | Patrice Eustache Jucks | Counselor | 2655 Dallas Hwy Sw, Ste 530, Marietta, GA 30064-2597 | 2011-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134338 | Kevin Morton | Marriage & Family Therapist | 1640 Powers Ferry Road, Se Bldg 21, Suite 300, Marietta, GA 30067-3006 | 2019-10-04 |
| 1689225898 | Carmen Bessant | Marriage & Family Therapist | 1640 Powers Ferry Rd Se Ste 175, Marietta, GA 30067-5491 | 2019-09-28 |
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1750891933 | Kelly Hindman | Marriage & Family Therapist | 2876 Johnson Ferry Rd Ste 150, Marietta, GA 30062-8324 | 2017-10-02 |
| 1164878401 | Svetlana Banegas | Marriage & Family Therapist | 70 Whitlock Pl Sw Ste 300, Marietta, GA 30064-3155 | 2016-05-05 |
| 1457739633 | Alisha Rorer | Marriage & Family Therapist | 1640 Powers Ferry Rd Se Bldg 18 Ste 175, Marietta, GA 30067 | 2015-05-08 |
| 1578985982 | Patricia Lyons | Marriage & Family Therapist | 3458 River Heights Xing Se, Marietta, GA 30067-4501 | 2014-01-21 |
| 1770851529 | Daniel L Lettenberger-klein | Marriage & Family Therapist | 1640 Powers Ferry Rd Se Ste 100, Marietta, GA 30067-5491 | 2011-12-08 |
| 1497081749 | Advanced Counseling Services, LLC | Marriage & Family Therapist | 2820 Lassiter Road, Suite A-150, Marietta, GA 30062 | 2009-10-21 |
| 1861512519 | Lynn E Seiser | Marriage & Family Therapist | 1469 Lynchburg Pl, Marietta, GA 30062-2063 | 2007-03-29 |
| Find all providers in MARIETTA | ||||
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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.