RANDELL ARMOND MORGAN SR.


Address: 1194 147th St Ste 5, Monticello, GA 31064-8068
Phone: 6782708284

RANDELL ARMOND MORGAN SR. (NPI# 1790320711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790320711
Entity Type Individual
Full Name RANDELL ARMOND MORGAN SR.
Credential CAC II, GCADC II
Practice Address 1194 147th St Ste 5
Monticello
GA 31064-8068
Mailing Address 2467 Roseberry Ln
Grayson
GA 30017-1555
Practice Telephone 6782708284
Mailing Telephone 6782153468
Enumeration Date 2019-11-13
Last Update Date 2019-11-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
3027 GA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
I DONT HAVE ANY NUMBERS 000000000 01

Office Location

Street Address 1194 147TH ST STE 5
City MONTICELLO
State GA
Zip Code 31064-8068

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NPI Name Taxonomy Address Enumeration
1568935757 Neighborcare Pharmacy Pharmacy 3 Short St., Monticello, GA 31064 2019-01-10
1932563178 Mary Catherine Sikes Specialist/Technologist 126 Hwy 212 West, Monticello, GA 31064 2016-04-13
1801018288 Griswold Chiropractic Chiropractor 111 W. Washington St, Monticello, GA 31064 2007-05-03
1881733392 Garrett Medical Supplies Durable Medical Equipment & Medical Supplies 126 Greene Street, Montilcello, GA 31064 2007-02-05
1629189212 Stephen R Griswold Chiropractor 111 West Washington St, Monticello, GA 31064 2006-08-31
1144293457 Jamie Alan Mitchell Dentist 458 W Washington St, Monticello, GA 31064 2006-02-08
1295738722 Shannon T Barton Family Medicine 545 Venture Court, Monticello, GA 31064 2005-05-30
1093011314 W Kenny Blake Md LLC Family Medicine 545 Venture Court, Monticello, GA 31064 2011-02-03
1811293137 Shannon T. Barton Md LLC Family Medicine 545 Venture Court, Monticello, GA 31064 2011-02-03
1609859818 Jasper County Emergency Medical Service Ambulance 185 Highway 212 W, Monticello, GA 31064-0000 2005-11-22
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740711779 Barbara Thomas Counselor 50 Mission Trl, Monticello, FL 32344-6869 2017-03-22
1225570377 Elvira Williams Counselor 91 Shaker Heights Rd, Apartment 33, Monticello, NY 12701-5314 2016-11-07
1144680018 Deborah Jackson Counselor 17 Hamilton Avenue, Monticello, NY 12701 2016-03-04
1891178109 Anthony Bernard Roberts Counselor 126 E Evelyn Ave, Monticello, KY 42633-1210 2015-07-06
1497147227 Phuong Tran Counselor 4300 School Blvd Ste 107, Monticello, MN 55362-4679 2015-03-03
1548588023 Thomas Scott Rue Counselor 6 Pelton St, Ste 2, Monticello, NY 12701-1908 2010-05-09
1376661157 Sammy Wilkerson Counselor 706 S. Bochardt, Monticello, AR 71655-9663 2007-03-27
1629123625 Samantha Ann Simmons Counselor 80 Rolling Hills Blvd, Monticello, KY 42633-9005 2007-01-23
1447345889 Linda Jean Feuquay Counselor 207 N. Bluff St., Monticello, IN 47960 2006-10-03
1598371981 Nicholas Pietrangolare Counselor 396 Broadway, Monticello, NY 12701-1157 2020-09-21
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Competitor

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City MONTICELLO
Zip Code 31064

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Dataset Information

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.

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