TEDRA PERKINS


Address: 1919 John Wesley Ave, College Park, GA 30337-3605
Phone: 4047629191

TEDRA PERKINS (NPI# 1821468232) 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) 1821468232
Entity Type Individual
Full Name TEDRA PERKINS
Other Name TEDRA PARKER
Credential LMFT
Practice Address 1919 John Wesley Ave
College Park
GA 30337-3605
Mailing Address 1885 North Dr Sw
Atlanta
GA 30331-7773
Practice Telephone 4047629191
Practice Fax Number 4047629101
Mailing Telephone 4046948703
Enumeration Date 2015-09-28
Last Update Date 2020-07-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist MFT001549 GA Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist AMFT000402 GA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1328 Peachtree St Ne Ste B317, Atlanta, GA 303093209 4042287777

Office Location

Street Address 1919 JOHN WESLEY AVE
City COLLEGE PARK
State GA
Zip Code 30337-3605

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063445823 Stephanie L. Barnhart Social Worker 1919 John Wesley Ave, College Park, GA 30337-3605 2006-07-07
1598380651 Elizabeth M White Registered Nurse 1919 John Wesley Ave, College Park, GA 30337-3605 2020-06-14
1700433646 Ayanna D Williams Community Health Worker 1919 John Wesley Ave, College Park, GA 30337-3605 2019-08-26
1457824625 Jessica Quinn Walker Student in an Organized Health Care Education/Training Program 1919 John Wesley Ave, College Park, GA 30337-3605 2019-01-09
1669945028 Afiya Yabuku Counselor 1919 John Wesley Ave, College Park, GA 30337-3605 2019-01-09
1487127080 Nils J. Palma Student in an Organized Health Care Education/Training Program 1919 John Wesley Ave, College Park, GA 30337-3605 2019-01-07
1871066449 Ebony Leaks Marriage & Family Therapist 1919 John Wesley Ave, College Park, GA 30337-3605 2019-01-07
1558834184 Johnny H White Marriage & Family Therapist 1919 John Wesley Ave, College Park, GA 30337-3605 2019-01-07
1194298935 Janae Williams Student in an Organized Health Care Education/Training Program 1919 John Wesley Ave, College Park, GA 30337-3605 2019-01-04
1356814164 Katrina Shantell Jones Counselor 1919 John Wesley Ave, College Park, GA 30337-3605 2019-01-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194360768 Advant Therapy Services LLC Speech-Language Pathologist 4827 Old National Hwy, Pmb 1619, College Park, GA 30337 2019-11-07
1093288318 Kevin Ramone Larkins Counselor 191 John Wesley Ave, College Park, GA 30337 2019-01-09
1013482553 Michael Uchenna Okenchi Nurse Practitioner 3715 Atlanta St, Atlanta, GA 30337 2018-10-11
1962993436 Bridges of Success, Inc. Counselor 3707 Main St, #10, College Park, GA 30337 2018-05-21
1427568245 Andrienne Ignatia Terrell Specialist/Technologist 600 N Terminal Hartsfield-jackson Airport, Atlanta, GA 30337 2017-10-06
1710408745 Tiffany Godwin Specialist/Technologist 600 N Terminal Hartsfield-jackon International Airport, Atlanta, GA 30337 2017-06-29
1104288240 Susan Elizabeth Northrup Preventive Medicine 1701 Columbia Avenue, Federal Aviation Administration, Aso-300, College Park, GA 30337 2016-03-28
1689061301 Jayne' Green Counselor 1919 John Wesley Ave., College Park, GA 30337 2015-04-21
1023412897 Progressive Health Aviation Services Clinic/Center 600 N Terminal, Hartsfield-jackson Atlanta International Airport, Atlanta, GA 30337 2014-10-22
1578805453 Talib El Counselor 2615 Roosevelt Highway, Atlanta, GA 30337 2013-03-19
Find all providers in zip 30337

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578083630 Symone Colquitt Marriage & Family Therapist 7309 Baltimore Ave Ste 117, College Park, MD 20740-3200 2017-06-20
1043750102 Patricia Cristina Monteiro De Barros Abreu Gomes Marriage & Family Therapist 4200 Valley Dr, Suite 0142v, College Park, MD 20742-0001 2017-03-07
1184174948 Kendra Abby Woolstenhulme Marriage & Family Therapist 5962 Westchester Park Dr, Apt 202, College Park, MD 20740-2809 2016-10-05
1962603720 Dolores Ann Acquista Marriage & Family Therapist 7307 Baltimore Avenue, College Park, MD 20742-0001 2007-05-30
1598396509 Monica Catherine Bestawros Marriage & Family Therapist 1651 Phoenix Blvd Ste 2, College Park, GA 30349-5552 2020-01-29
1871066449 Ebony Leaks Marriage & Family Therapist 1919 John Wesley Ave, College Park, GA 30337-3605 2019-01-07
1558834184 Johnny H White Marriage & Family Therapist 1919 John Wesley Ave, College Park, GA 30337-3605 2019-01-07
1750854675 Julian Wood Marriage & Family Therapist 1919 John Wesley Ave, College Park, GA 30337-3605 2019-01-03
1336612381 Angela Sada' Demoin Paggett Marriage & Family Therapist 1919 John Wesley Ave, College Park, GA 30337-3605 2019-01-02
1417494345 Marlo T Rouse Marriage & Family Therapist 1800 Phoenix Blvd, College Park, GA 30349-5593 2017-01-30
Find all providers in COLLEGE PARK

Competitor

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City COLLEGE PARK
Zip Code 30337

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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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