COUNSELING SERVICES OF LAGRANGE, INC. (NPI# 1790197804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790197804 |
Entity Type | Organization |
Organization Name | COUNSELING SERVICES OF LAGRANGE, INC. |
Practice Address |
610 Ridley Ave Lagrange GA 30240-2236 |
Practice Telephone | 7068845050 |
Practice Fax Number | 7068845056 |
Mailing Telephone | 7068845050 |
Mailing Fax Number | 7068845056 |
Enumeration Date | 2014-05-22 |
Last Update Date | 2015-06-29 |
Authorized Official Name | SHANNON KEITH DUNLAP (OWNER/DIRECTOR) |
Authorized Official Telephone | 7068845050 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003497 | GA | Behavioral Health & Social Service Providers |
Street Address |
610 RIDLEY AVE |
City | LAGRANGE |
State | GA |
Zip Code | 30240-2236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194950857 | Shannon K. Dunlap | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2009-05-26 |
1700401536 | Angela Montondo | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2020-06-08 |
1154944601 | Leona Lin Bleich | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2020-05-19 |
1609348366 | Heike Barnett | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2018-12-19 |
1588136394 | Tracey Tenney | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2018-12-19 |
1730650763 | Holle Leath | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2018-12-17 |
1154802551 | Annie Davis | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2018-08-23 |
1700304904 | Michael Scott Smith | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2017-09-07 |
1659776912 | Kim L Neese | Counselor | 610 Ridley Ave, Counseling Services, Inc., Lagrange, GA 30240-2236 | 2014-10-29 |
1720417140 | Kelly J Veal | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2013-11-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
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Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043397474 | Jeremy Sean Mckay | Psychologist | 516 Ridley Ave, Lagrange, GA 30240-2234 | 2006-11-01 |
1619110921 | Halla-bauer Psychological Services Corporation | Psychologist | 300 Medical Dr, Suite 705, Lagrange, GA 30240-4130 | 2009-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902403462 | Molly Elizabeth Katherine Mclaren | Psychologist | 1441 Clifton Rd Ne Ste 170, Atlanta, GA 30322-1004 | 2020-10-07 |
1588261945 | Raven Evans | Psychologist | 1800 Lake Park Dr Se Ste 123, Smyrna, GA 30080-7639 | 2020-10-07 |
1255945572 | Kerri Eileen Woodward | Psychologist | 6000 Lake Forrest Dr Ste 103, Atlanta, GA 30328-5902 | 2020-09-03 |
1932721784 | Essential Counseling & Consulting, Inc | Psychologist | 2800 Old Spanish Trl, College Park, GA 30349-4266 | 2020-05-15 |
1689296980 | Natalie N Watson-singleton | Psychologist | 2124 Cheshire Bridge Rd Ne Apt 4112, Atlanta, GA 30324-5733 | 2020-05-11 |
1336760164 | Lauren Olivia Patterson | Psychologist | 209 Thornwood Ct, Statesboro, GA 30458-0296 | 2020-05-04 |
1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
1669091989 | Juliet Anne Buchwalter | Psychologist | 49 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7426 | 2020-04-16 |
1790319549 | Thaddeus Reecesiri Reece | Psychologist | 771 Tulip Poplar Way, Lawrenceville, GA 30044-8819 | 2020-03-02 |
1508498395 | Walker Consulting & Psychological Services | Psychologist | 4375 Cobb Pkwy Se Ste 121, Atlanta, GA 30339-5537 | 2020-02-10 |
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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.