TERESA KIMBROUGH (NPI# 1770104234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770104234 |
| Entity Type | Individual |
| Full Name | TERESA KIMBROUGH |
| Practice Address |
3690 Lindsy Brooke Ct Douglasville GA 30135-3082 |
| Practice Telephone | 3343570726 |
| Mailing Telephone | 3343570726 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
GA | Behavioral Health & Social Service Providers |
| Street Address |
3690 LINDSY BROOKE CT |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462864 | Angela Smith | Counselor | 3239 Blackley Old Rd, Douglasville, GA 30135-8119 | 2020-09-21 |
| 1790390862 | Quinsana Beaty | Counselor | 8319 Office Park Dr Ste A, Douglasville, GA 30134-6936 | 2020-09-15 |
| 1164030946 | Ashley Hackett | Counselor | 6876 Laurel Ridge Ct, Douglasville, GA 30135-1619 | 2020-07-17 |
| 1164048302 | Denese Natalee Bell-martin | Counselor | 5369 Legacy Trl, Douglasville, GA 30135-5865 | 2020-06-23 |
| 1255952412 | Lajuan Spivey | Counselor | 8337 Park Drive, Douglasville, GA 30129 | 2020-04-29 |
| 1144864190 | Felicia M Williams | Counselor | 3080 Highland Hill Pkwy, Douglasville, GA 30135-8636 | 2019-11-03 |
| 1407335797 | Carla Bolton | Counselor | 4911 Crinklepoint Ct, Douglasville, GA 30134-3981 | 2018-08-08 |
| 1407333008 | Sabrina K Callaway | Counselor | 4462 Sunflower Dr, Douglasville, GA 30135-4226 | 2018-07-26 |
| 1245751361 | Debra A Kemp | Counselor | 290 Paradise Dr, Douglasville, GA 30134-5283 | 2017-06-28 |
| 1609314590 | Tamara Andrews | Counselor | 942 Oak Creek Cir Apt D, Douglasville, GA 30134-2478 | 2017-02-10 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
Please comment or provide details below to improve the information on TERESA KIMBROUGH.
| 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.