REVEN C SMALLS (NPI# 1740704907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740704907 |
| Entity Type | Individual |
| Full Name | REVEN C SMALLS |
| Credential | LPC |
| Practice Address |
1321a Interstate Pkwy Augusta GA 30909-5626 |
| Practice Telephone | 7067387246 |
| Practice Fax Number | 7067387248 |
| Mailing Telephone | 7067387246 |
| Mailing Fax Number | 7067387248 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
APC006029 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1321A INTERSTATE PKWY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-5626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144473976 | Jessica Meredith Davis | Physician Assistant | 1321a Interstate Pkwy, Augusta, GA 30909-5626 | 2008-10-24 |
| 1932552890 | Lisa Marie Parker | Nurse Practitioner | 1321a Interstate Pkwy, Augusta, GA 30909-5626 | 2016-07-15 |
| 1508101312 | Sherrie Lynn Wheeler | Nurse Practitioner | 1321a Interstate Pkwy, Augusta, GA 30909-5626 | 2012-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053929091 | Rosetta Parkeraustin | Counselor | 2232 Pepperidge Dr, Augusta, GA 30906-5777 | 2020-07-15 |
| 1194342378 | Christina Hall Videon | Counselor | 207 Hudson Trce Ste 100, Augusta, GA 30907-2010 | 2020-07-03 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1801415476 | Purpose Place, LLC | Counselor | 1121 Laney Walker Blvd, Augusta, GA 30901-2869 | 2020-04-13 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1619539988 | Caitlin Gilham | Counselor | 2945 Walton Way Ext, Augusta, GA 30909-3827 | 2019-07-08 |
| 1306405451 | Julie Elise Tibbetts | Counselor | 3615b Mike Padgett Hwy, Augusta, GA 30906-3898 | 2019-06-12 |
| 1740797489 | Vivian Smoot Ross | Counselor | 4061 Pullman Cir, Augusta, GA 30909-9842 | 2018-01-03 |
| 1992224299 | Trutherapy Lpc | Counselor | 608 Broad St, Augusta, GA 30901-1444 | 2017-09-18 |
| 1316464415 | Heeling In Fashion Foundation Inc. | Counselor | 3006 Richmond Hill Rd, Augusta, GA 30906-3311 | 2017-08-29 |
| Find all providers in AUGUSTA | ||||
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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.