SABRINA FAIRCLOTH (NPI# 1740543404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740543404 |
| Entity Type | Individual |
| Full Name | SABRINA FAIRCLOTH |
| Credential | LCSW |
| Practice Address |
250 North Ave Athens GA 30601-2244 |
| Practice Telephone | 7063896789 |
| Mailing Telephone | 7063896789 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2015-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CSW005173 | GA | Behavioral Health & Social Service Providers |
| Street Address |
250 NORTH AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30601-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942270558 | Advantage Behavioral Health Systems | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2006-01-25 |
| 1396367181 | Tracie Rene Tomas | Counselor | 250 North Ave, Athens, GA 30601-2244 | 2020-05-14 |
| 1043832298 | Kathryn Taylor Ashmore | Social Worker | 250 North Ave, Athens, GA 30601-2244 | 2020-05-11 |
| 1093335853 | Obianuju Okpala | Nurse Practitioner | 250 North Ave, Athens, GA 30601-2244 | 2020-04-22 |
| 1427694116 | Diane M Hodge | Counselor | 250 North Ave, Athens, GA 30601-2244 | 2019-11-18 |
| 1265092191 | Margaret Molony | Behavioral Analyst | 250 North Ave, Athens, GA 30601-2244 | 2019-06-13 |
| 1407414394 | Brier Wagoner-mccann | Social Worker | 250 North Ave, Athens, GA 30601-2244 | 2019-06-05 |
| 1225596802 | Erin Ray | Social Worker | 250 North Ave, Athens, GA 30601-2244 | 2019-03-04 |
| 1720583529 | Jessica Wiggs | Counselor | 250 North Ave, Athens, GA 30601 | 2018-03-26 |
| 1164920716 | Ebot B Manga | Nurse Practitioner | 250 North Ave, Athens, GA 30601-2244 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1386011575 | Janna Barham Cleveland | Nurse Practitioner | 496 Reese Street, Athens, GA 30601 | 2015-08-24 |
| 1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| 1972921021 | Issa Papiss Bagayogo | Psychiatry & Neurology | 297 Prince Avenue Suite 28a, Athens, GA 30601 | 2014-04-04 |
| 1447682083 | Brittany Lynn Lowery | Counselor | 250 Bray Street, Athens, GA 30601 | 2013-08-06 |
| 1417194135 | Carey Kirk | Counselor | 295 Mles St, Athens, GA 30601 | 2009-01-16 |
| Find all providers in zip 30601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251187 | Kara Archer | Counselor | 224 Columbus Rd # 724, Athens, OH 45701-1334 | 2020-10-06 |
| 1235696766 | Lotus Counseling Services of Athens, LLC | Counselor | 545 Research Dr Ste B, Athens, GA 30605-2745 | 2019-02-20 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1306344148 | Patsy Marie Jackson | Counselor | 847 Highway 154, Athens, LA 71003-3103 | 2018-01-26 |
| 1497297816 | Hannah Hall | Counselor | 367 Prince Ave Ste G, Athens, GA 30601-2471 | 2016-11-16 |
| 1477919199 | Bethany L. Fulton | Counselor | 530 W Union St Ste D, Athens, OH 45701-8303 | 2016-01-11 |
| 1568827616 | Wounded Healers Energy Center, LLC | Counselor | 187 E State St Ste C, Athens, OH 45701-1764 | 2015-12-16 |
| 1356715171 | Brandon Humphries | Counselor | 704 W Madison Ave, Athens, TN 37303-3428 | 2015-11-17 |
| 1245604164 | Jolie Daigle | Counselor | 232 Hidden Spring Way, Athens, GA 30605-5745 | 2015-11-16 |
| 1649664046 | Teresa Jan Thompson | Counselor | 2371 Green Gate Rd, Athens, TX 75752-5168 | 2015-03-24 |
| Find all providers in ATHENS | ||||
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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.