MRS. STEPHANIE MARIE LANDRUM (NPI# 1851780118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851780118 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE MARIE LANDRUM |
| Credential | M.ED., LPC, NCC |
| Practice Address |
3229 Highway 34 E Ste 104 Newnan GA 30265-2196 |
| Practice Telephone | 7707034726 |
| Practice Fax Number | 7707035052 |
| Mailing Telephone | 7707034726 |
| Mailing Fax Number | 7707034726 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC009832 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSED PROFESSIONAL COUNSELOR | LPC009832 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6095 Pine Mountain Rd Nw, Suite #105, Kennesaw, GA 301523329 | 6782177529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902928054 | Stephanie Landrum | Counselor | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2007-04-06 |
| Street Address |
3229 HIGHWAY 34 E STE 104 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350957 | Diane J Schaab | Counselor | 370 S Shore Dr, Newnan, GA 30263-5927 | 2020-06-09 |
| 1790311926 | Zelda Hines | Counselor | 37 Calumet Pkwy Ste 102, Newnan, GA 30263-6734 | 2020-03-19 |
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1316582208 | Hope Healing and Harmony Counseling Services | Counselor | 210 Jefferson Pkwy Ste A, Newnan, GA 30263-5886 | 2019-11-14 |
| 1861908691 | Donna Williamson Hansman | Counselor | 30 E Washington St Ste D, Newnan, GA 30263-1921 | 2017-12-15 |
| 1962940098 | Darren Whitfield | Counselor | 49 Brisbane Ct, Newnan, GA 30263-2370 | 2017-02-09 |
| 1215301767 | Ann Marie Kerlin | Counselor | 21 Tanglewood Rd, Newnan, GA 30263-4110 | 2015-11-20 |
| 1932596467 | Georgia Community Clinic, LLC | Counselor | 8 Franklin Rd, Suite A, Newnan, GA 30263-1312 | 2015-04-22 |
| 1295121606 | John Kennebrew | Counselor | 249 Temple Ave Ste 263, Newnan, GA 30263-1369 | 2015-04-13 |
| 1255752531 | Charles Arthur Lenahan | Counselor | 37 Calumet Pkwy Ste H100, Newnan, GA 30263-7854 | 2014-01-03 |
| Find all providers in NEWNAN | ||||
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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.