ALICIA MARIE GREGORY (NPI# 1760602007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760602007 |
| Entity Type | Individual |
| Full Name | ALICIA MARIE GREGORY |
| Credential | LMFT |
| Practice Address |
111 Dolly St Gray GA 31032-5307 |
| Mailing Address |
276 Katherine Dr Gray GA 31032-3865 |
| Practice Telephone | 4784911991 |
| Practice Fax Number | 4789862337 |
| Mailing Telephone | 4784911991 |
| Mailing Fax Number | 4789862337 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2009-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT001039 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 173019348A | 05 |
| Street Address |
111 DOLLY ST |
| City | GRAY |
| State | GA |
| Zip Code | 31032-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891033098 | Shaun Patrick Kell | Marriage & Family Therapist | 111 Dolly St, Gray, GA 31032-5307 | 2013-01-22 |
| 1578892477 | Angela Montgomery Eells | Social Worker | 111 Dolly St, Gray, GA 31032-5307 | 2009-12-24 |
| 1164654752 | Jennifer Strole | Counselor | 111 Dolly St, Gray, GA 31032-5307 | 2009-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225669120 | True Essential Service, LLC | Home Health | 112 Madison Avenue, Gray, GA 31032 | 2020-01-29 |
| 1740640234 | Tuquester L. Carlisle | Marriage & Family Therapist | 300 West Clinton St., Suite I, Gray, GA 31032 | 2016-02-26 |
| 1821404161 | Linda Norman Greene | Home Health Aide | 3562 Gray Highway, Gray, GA 31032 | 2014-07-08 |
| 1770876781 | Gray Dental Associates, P.C. | Dentist | 242 West Clinton St, Gray, GA 31032 | 2011-05-24 |
| 1245404516 | Louise E Simmons | Nurse's Aide | 426 Liberty Street, Gray, GA 31032 | 2008-04-17 |
| 1396929568 | Albert H Mcgalliard | Pharmacist | 236 West Clinton St, Gray, GA 31032 | 2007-12-24 |
| 1184845067 | Todd F Kelleher | Chiropractor | 4292 Gray Highway, Gray, GA 31032 | 2007-05-01 |
| 1477690014 | S & S Medical Management Services, Inc | Durable Medical Equipment & Medical Supplies | 221 West Clinton Street, Suite F, Gray, GA 31032 | 2007-01-31 |
| 1235290859 | River Edge Behavorial Health Center | Community/Behavioral Health | 324 Highway 18 East, Gray, GA 31032 | 2006-12-13 |
| 1437211067 | River Edge Behavioral Health Center | Community/Behavioral Health | 502 West Clinton Street, Gray, GA 31032 | 2006-12-13 |
| Find all providers in zip 31032 | ||||
| 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 |
|---|---|---|---|---|
| 1740640234 | Tuquester L. Carlisle | Marriage & Family Therapist | 300 West Clinton St., Suite I, Gray, GA 31032 | 2016-02-26 |
| 1154719748 | Amanda Sassaman Hood | Marriage & Family Therapist | 183 W Clinton St, Gray, GA 31032-5301 | 2015-01-05 |
| 1891033098 | Shaun Patrick Kell | Marriage & Family Therapist | 111 Dolly St, Gray, GA 31032-5307 | 2013-01-22 |
| 1396033510 | Asa Woodman | Marriage & Family Therapist | 306 Shaker Rd, Gray, ME 04039-9674 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869183 | Michael Tanner | Marriage & Family Therapist | 5763 Village Loop, Fairburn, GA 30213-4641 | 2020-10-24 |
| 1316546401 | Joseph Keith Brewton | Marriage & Family Therapist | 210 Creekstone Rdg, Woodstock, GA 30188-3732 | 2020-10-20 |
| 1063010528 | Karla Schlumbrecht | Marriage & Family Therapist | 3569 Sumner Rd, Moultrie, GA 31768-0117 | 2020-10-15 |
| 1376140426 | Moandra Johnson | Marriage & Family Therapist | 2037 Weems Rd Apt 6201, Tucker, GA 30084-5263 | 2020-10-01 |
| 1649887431 | Kristi Brynt Godwin | Marriage & Family Therapist | 4457 Kenilworth Cir, Valdosta, GA 31605-8018 | 2020-09-25 |
| 1073129896 | Lotus Nest Counseling Services LLC | Marriage & Family Therapist | 906 Weathers Dr, Montezuma, GA 31063-1016 | 2020-09-17 |
| 1982217378 | Amy Wagner, LLC | Marriage & Family Therapist | 346 Kramer St, Carrollton, GA 30117-3708 | 2020-08-26 |
| 1114539491 | Sil-miracle Walker | Marriage & Family Therapist | 4210 Columbia Rd Ste 7b, Martinez, GA 30907-0439 | 2020-08-19 |
| 1285242099 | Lyons Center, LLC | Marriage & Family Therapist | 110 Kellwood Dr Ste 200a, Perry, GA 31069-3263 | 2020-07-17 |
| 1073131827 | Ilisten, LLC | Marriage & Family Therapist | 106 Danbury Ct, Pooler, GA 31322-9780 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
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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.