HEATHER MCCORMACK-MOON (NPI# 1831423185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831423185 |
| Entity Type | Individual |
| Full Name | HEATHER MCCORMACK-MOON |
| Credential | LPC |
| Practice Address |
2801 Buford Hwy Ne Ste 470 Atlanta GA 30329-2124 |
| Practice Telephone | 4042425553 |
| Practice Fax Number | 4043211928 |
| Mailing Telephone | 4042425553 |
| Mailing Fax Number | 4043211928 |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2014-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
007784 | GA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
T10121811 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | E7436 | 05 |
| Street Address |
2801 BUFORD HWY NE STE 470 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495411 | Bianca Tiara Abrams | Counselor | 916 Glenwood Park Dr Se, Atlanta, GA 30316-6845 | 2020-10-23 |
| 1780283713 | Stacey Dougan | Counselor | 696 Mountain Dr Ne, Atlanta, GA 30342-3904 | 2020-10-21 |
| 1851998744 | Amanda Hock | Counselor | 3565 Piedmont Rd Ne Ste 510, Atlanta, GA 30305-8202 | 2020-10-05 |
| 1023625985 | Nathlie Dowdell | Counselor | 1939 Sylvan Rd Sw, Atlanta, GA 30310-5019 | 2020-09-24 |
| 1598371304 | Nissa Christina White | Counselor | 3520 Piedmont Rd Ne Ste 300, Atlanta, GA 30305-1512 | 2020-09-17 |
| 1194339689 | Harry Scott Gordon | Counselor | 3342 Rose Rdg, Atlanta, GA 30340-4074 | 2020-09-02 |
| 1023621869 | Naquia Scott | Counselor | 3330 Cumberland Blvd Se # 3330, Atlanta, GA 30339-5995 | 2020-08-30 |
| 1023621653 | Lindsey Hutchins | Counselor | 55 Mcdonough Blvd Se, Atlanta, GA 30315-2316 | 2020-08-24 |
| 1285246009 | Nickesha Melisa Douglas | Counselor | 1976 Flat Shoals Rd Se Ste A, Atlanta, GA 30316-2857 | 2020-08-21 |
| 1407467434 | Life Changes Counseling and Consultant Services, LLC | Counselor | 1003 Virginia Ave Ste 104, Atlanta, GA 30354-1366 | 2020-08-13 |
| Find all providers in ATLANTA | ||||
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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.