PATRICIA A AZAB (NPI# 1740439389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740439389 |
| Entity Type | Individual |
| Full Name | PATRICIA A AZAB |
| Credential | LMHC, LPC |
| Practice Address |
102 Gunn Rd Centerville GA 31028-1706 |
| Practice Telephone | 4789530088 |
| Mailing Telephone | 4789530088 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2016-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | MH2119 | FL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
008304 | GA | Behavioral Health & Social Service Providers |
| Street Address |
102 GUNN RD |
| City | CENTERVILLE |
| State | GA |
| Zip Code | 31028-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407815491 | Elizabeth Marie Soety | Clinical Neuropsychologist | 102 Gunn Rd, Centerville, GA 31028 | 2006-03-20 |
| 1376083543 | Work In Progress Counseling and Consulting LLC | Counselor | 102 Gunn Rd, Centerville, GA 31028-1706 | 2017-03-07 |
| 1821360371 | Joi Sabrina G Gay | Counselor | 102 Gunn Rd, Centerville, GA 31028-1706 | 2012-01-30 |
| 1013147743 | Neuropsychological Testing and Counseling | Clinical Neuropsychologist | 102 Gunn Rd, Centerville, GA 31028 | 2009-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891278743 | Latonia Queen Howard | Nurse Practitioner | 804 Arbor Ln, Centerville, GA 31028 | 2018-09-06 |
| 1134493620 | Ashley L Jack | Physician Assistant | 655 Seventh Street, Bldg 700, Centerville, GA 31028 | 2012-02-29 |
| 1982750766 | Denise Patrick Noel | Dentist | 618 N Houston Lake Blvd, Centerville, GA 31028-1010 | 2007-01-26 |
| 1093149874 | Janki Desai Patel | Dentist | 618 N Houston Lake Blvd, Centerville, GA 31028-1010 | 2013-08-28 |
| 1255640082 | Denise P Noel | Dentist | 618 N Houston Lake Blvd, Centerville, GA 31028-1010 | 2010-09-28 |
| 1518516228 | Emeli Eleyn Burlison | Dental Hygienist | 428 Sentry Oak Dr, Centerville, GA 31028-1200 | 2019-09-05 |
| 1083739346 | Antonia K Taylor | Optometrist | 2930 Watson Blvd, Centerville, GA 31028-1245 | 2007-03-19 |
| 1265506695 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2930 Watson Blvd, Galleria Mall, Centerville, GA 31028-1245 | 2006-11-18 |
| 1447878020 | Shanta Lafaye Watkins | Adult Companion | 103 Ashlund Dr, Centerville, GA 31028-1262 | 2020-07-09 |
| 1740569912 | Love & Care Home Health Care | Home Health | 209 Scarborough Rd, Centerville, GA 31028-1335 | 2011-08-05 |
| Find all providers in zip 31028 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272633 | A Good Place Therapy | Counselor | 7029 20th Ave, Centerville, MN 55038-9737 | 2019-12-17 |
| 1982052601 | Patricia Morgan-john | Counselor | 1784 Steven Lane, Centerville, MN 55038 | 2016-06-03 |
| 1285081307 | Stephen Fortson | Counselor | 51 Irongate Park Dr, Centerville, OH 45459-4616 | 2016-05-18 |
| 1679949481 | Deborah Holt | Counselor | 1180 E Alex Bell Rd, Centerville, OH 45459-2640 | 2015-08-15 |
| 1568855823 | Andrea Veech | Counselor | 6975 Meadow Ct, Centerville, MN 55038-8784 | 2015-03-11 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1326168253 | Cary Hatton | Counselor | 298 Pleasant Hill Dr, Centerville, OH 45459-4608 | 2007-04-02 |
| 1942830443 | Shanna Van Duzer | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2020-01-23 |
| 1306291653 | Susanne Mitchell | Counselor | 90 Rhoads Center Dr, Centerville, OH 45458-3859 | 2016-04-24 |
| 1417360264 | Jessica Owens | Counselor | 90 Rhoads Center Dr, Centerville, OH 45458-3859 | 2014-06-10 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 31028 |
Please comment or provide details below to improve the information on PATRICIA A AZAB.
| 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.