DR. THERESA J HOLT (NPI# 1780826834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780826834 |
| Entity Type | Individual |
| Full Name | DR. THERESA J HOLT |
| Credential | EDD, LPC, NCC |
| Practice Address |
7146 Southlake Pkwy Morrow GA 30260-3075 |
| Practice Telephone | 7709609961 |
| Mailing Telephone | 7709609961 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
LPC005030 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710146873 | Theresa Holt | Occupational Therapist | 8254 Atlee Rd, Mechanicsville, VA 23116-1844 | 2008-06-04 |
| 1285777037 | Theresa I Holt | Dentist | 106 E Washington, Fairfield, IA 52556 | 2007-02-14 |
| Street Address |
7146 SOUTHLAKE PKWY |
| City | MORROW |
| State | GA |
| Zip Code | 30260-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295896819 | Mary-inez Thi Thai | Case Manager/Care Coordinator | 7146 Southlake Pkwy, Morrow, GA 30260-3075 | 2006-12-13 |
| 1659514255 | Tiffany Tom-johnson | Rehabilitation Counselor | 7146 Southlake Pkwy, Morrow, GA 30260-3075 | 2009-04-13 |
| 1720220965 | Terry Cole | Counselor | 7146 Southlake Pkwy, Morrow, GA 30260-3075 | 2009-04-02 |
| 1891937033 | Patricia Johnson-cummings | Registered Nurse | 7146 Southlake Pkwy, Morrow, GA 30260-3075 | 2009-04-02 |
| 1093848087 | Susan Mary Markle | Occupational Therapist | 7146 Southlake Pkwy, Morrow, GA 30260-3075 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766605 | C. Alexander Pediatrics LLC | Emergency Medicine | 2180 Rex Road, Morrow, GA 30260 | 2020-10-02 |
| 1578127627 | Osara Dhevmi Malalasekara | Student in an Organized Health Care Education/Training Program | Amc Family Medicine Residency Program, 1000 Corporate Center Dr Suite 200, Morrow, GA 30260 | 2019-04-24 |
| 1902360860 | Katrina Samuels | Technician | 5771 Trammell Rd. Morrow Ga, Morrow, GA 30260 | 2019-01-24 |
| 1679067870 | Atl Sport | Community/Behavioral Health | 5376 Jonesboro Rd, Lake City, GA 30260 | 2018-06-20 |
| 1487184099 | Mamie Rochell Jinks | Driver | 1541 Lakeland Cir, Lake City, GA 30260 | 2017-06-15 |
| 1598202079 | Grace Misi Nteff | Nurse Practitioner | 1000 Clayton Village, Clayton State University, School of Nursing Community, Morrow, GA 30260 | 2017-01-23 |
| 1902357908 | Morrow Family Dentistry, P.C. | Clinic/Center | 6319a Jonesboro Road, Morrow, GA 30260 | 2016-10-14 |
| 1043679418 | Elite Rehab and Weightloss | Chiropractor | 1568 Southlake Pkwy Ste C, Morrow, GA 30260 | 2016-02-15 |
| 1659758985 | Clayton State University | Nurse Practitioner | 5809 Northlake Drive, Bldg 1000, Morrow, GA 30260 | 2015-05-06 |
| 1255731519 | Care First Private Home Care | In Home Supportive Care | 2380 Fairfield Court, Morrow, GA 30260 | 2014-08-23 |
| Find all providers in zip 30260 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
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|---|---|---|---|---|
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1033677737 | Assets of A King, LLC | Psychologist | 916 Maple Leaf Dr, Mcdonough, GA 30253-8083 | 2019-03-12 |
| 1780135244 | George Olarewaju | Psychologist | 3676 Riverview Approach, Ellenwood, GA 30294-4255 | 2016-10-20 |
| 1730637059 | Flora's Loving Hands | Psychologist | 4891 Eagles Ridge Loop, Lithonia, GA 30038 | 2016-09-15 |
| 1295156263 | Angelice Morgan | Psychologist | 506 Manchester Expressway, Columbus, GA 31904 | 2013-12-18 |
| 1982025045 | Amber Harrow | Psychologist | 506 Manchester Expy Ste A13and14, Columbus, GA 31904-6444 | 2013-12-17 |
| 1336358647 | Early Autism Project, Inc. | Psychologist | 5488 Chamblee Dunwoody Rd Ste 7, Dunwoody, GA 30338-4161 | 2007-05-22 |
| 1437290855 | Lowndes Advocacy Resource Center, Inc | Psychologist | 1646 E Park Ave, Valdosta, GA 31602-3413 | 2007-02-09 |
| 1154399152 | Amanda Griffin Wagner | Psychologist | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2006-03-08 |
| 1861998585 | Peachtree Pediatric Psychology, LLC | Psychologist | 750 Hammond Drive, Bldg 7, Ste 200, Atlanta, GA 30328 | 2018-04-02 |
| 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.