TEDRA PERKINS (NPI# 1821468232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1328 Peachtree St Ne Ste B317, Atlanta, GA 303093209 | 4042287777 |
| Street Address |
1919 JOHN WESLEY AVE |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30337-3605 |
| 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 | ||||
| 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 Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| 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 | ||||
| City | COLLEGE PARK |
| Zip Code | 30337 |
Please comment or provide details below to improve the information on TEDRA PERKINS.
| 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.