ANTONIO FISH (NPI# 1760847420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760847420 |
| Entity Type | Individual |
| Full Name | ANTONIO FISH |
| Credential | PP |
| Practice Address |
5680 Fulton Industrial Blvd Sw Atlanta GA 30336-2659 |
| Mailing Address |
1449 Raintree Dr Apt J Roswell GA 30076-2717 |
| Practice Telephone | 4043463471 |
| Mailing Telephone | 6787480010 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | GA | Behavioral Health & Social Service Providers |
| Street Address |
5680 FULTON INDUSTRIAL BLVD SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30336-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659412542 | Yes-u-can, Inc | Community/Behavioral Health | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2007-02-12 |
| 1255978821 | Katrina Banks | Counselor | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2019-12-03 |
| 1326515040 | Michael Lamont Osborne | Peer Specialist | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2018-10-31 |
| 1851868616 | Benita Green | Counselor | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2018-10-30 |
| 1972070886 | Shavier Alexander | Counselor | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2018-10-29 |
| 1699214825 | Marcus Green | Counselor | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2017-02-21 |
| 1720453475 | Carla Mcleod | Counselor | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2015-12-07 |
| 1487900387 | Nyrva Bertrand | Licensed Practical Nurse | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2012-07-28 |
| 1336361377 | New Beginnings Today LLC | Skilled Nursing Facility | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053500751 | American Current Care Pa | Clinic/Center | 5670 Fulton Industrial Blvd, Atlanta, GA 30336 | 2007-10-18 |
| 1891899050 | Chanda Monee' Gordon | Dentist | 5626 Fulton Industrial Blvd., Suite 110, Atlanta, GA 30336 | 2006-09-11 |
| 1508875188 | Occupational Health Centers of Georgia PC | Clinic/Center | 5670 Fulton Industrial Blvd., Atlanta, GA 30336 | 2006-08-05 |
| 1760905566 | Ashia Rallings | Chiropractor | 1311a Fulton Industrial Blvd Nw, Ste 3, Atlanta, GA 30336-1533 | 2017-07-24 |
| 1255870119 | Daniel Riase | Chiropractor | 1311a Fulton Industrial Blvd Nw Ste 3, Atlanta, GA 30336-1533 | 2017-02-13 |
| 1386744233 | Miranda White | Physical Therapist | 1311a Fulton Industrial Blvd Nw Ste 5, Atlanta, GA 30336-1533 | 2006-09-22 |
| 1134642077 | Chiropractic Healthcare Group LLC | Chiropractor | 1311a Fulton Industrial Blvd Nw Ste 3, Atlanta, GA 30336-1533 | 2017-07-23 |
| 1235211996 | Touch of Therapy Health and Wellness Services, LLC | Physical Therapist | 1311a Fulton Industrial Blvd Nw Ste 5, Atlanta, GA 30336-1533 | 2006-10-20 |
| 1275947277 | Mind-head Solutions, LLC | Community/Behavioral Health | 630 Interchange Dr Sw, Atlanta, GA 30336-1604 | 2014-06-17 |
| 1558706820 | Harvester Center for Growth | Community/Behavioral Health | 4002 Wendell Dr Sw, Atlanta, GA 30336-1722 | 2013-05-01 |
| Find all providers in zip 30336 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010247 | Jeffrey Heath Williamson | Counselor | 3350 Lansbury Village Dr Apt 2, Atlanta, GA 30341-5749 | 2020-10-11 |
| 1548868730 | Dynamic Change | Counselor | 2255 Cumberland Pkwy Se Ste 240, Atlanta, GA 30339-4515 | 2020-10-11 |
| 1447878616 | Githealthy Inc. | Counselor | 3553 Forrest Park Rd Se, Atlanta, GA 30354-3414 | 2020-07-14 |
| 1881212785 | Chardae N Barnes | Counselor | 2470 Cheshire Bridge Rd Ne Apt 1422, Atlanta, GA 30324-4041 | 2020-07-08 |
| 1336769470 | Tavonda Hudson | Counselor | 411 Luckie St Nw Unit 302, Atlanta, GA 30313-2058 | 2020-04-18 |
| 1023647633 | Luciana Sacramento Aguiar | Counselor | 1230 Peachtree St Ne Ste 1904, Atlanta, GA 30309-3574 | 2020-04-06 |
| 1083240782 | Humanicurity Inc. | Counselor | 1048 Flat Shoals Rd Apt 303, Atlanta, GA 30349-7336 | 2020-03-14 |
| 1831730522 | Morgan Clary | Counselor | 2614 Clifton Downs Trl Se, Atlanta, GA 30316-4058 | 2019-10-03 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1447725775 | Lauren Derossette | Counselor | 1850 Cotillion Dr Unit 4308, Atlanta, GA 30338-7904 | 2018-10-13 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on ANTONIO FISH.
| 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.