GWENDOLYN T EDMOND (NPI# 1851870331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851870331 |
Entity Type | Individual |
Full Name | GWENDOLYN T EDMOND |
Credential | LPC |
Practice Address |
103 Mercer Dr Ste B Dublin GA 31021-4257 |
Mailing Address |
2121 Bellevue Rd Ste B Dublin GA 31021-2952 |
Practice Telephone | 4782743012 |
Practice Fax Number | 4782747948 |
Mailing Telephone | 4782743012 |
Mailing Fax Number | 4782747948 |
Enumeration Date | 2018-08-07 |
Last Update Date | 2018-08-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC004269 | GA | Behavioral Health & Social Service Providers |
Street Address |
103 MERCER DR STE B |
City | DUBLIN |
State | GA |
Zip Code | 31021-4257 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639797921 | April S Phillips | Social Worker | 103 Mercer Dr Ste B, Dublin, GA 31021-4257 | 2020-07-13 |
1053939355 | Whitney S Moss | Social Worker | 103 Mercer Dr Ste B, Dublin, GA 31021-4257 | 2020-07-13 |
1457907958 | Angela Michelle Street | Dietitian, Registered | 103 Mercer Dr Ste B, Dublin, GA 31021-4257 | 2019-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
Find all providers in zip 31021 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093332900 | Angela Charlton | Counselor | 5166 Baskerville St, Dublin, VA 24084-3645 | 2020-06-26 |
1518583624 | Robert Moses Spaulding II | Counselor | 201 Kings Road, Kingswood Subdivision, Dublin, GA 31021-6439 | 2020-06-24 |
1811469661 | Rachel Mary White | Counselor | 2121a Bellevue Rd Bldg 4, Dublin, GA 31021-9073 | 2018-12-18 |
1215425368 | Marisa Rae Chovan | Counselor | 7614 Mill Bench Ct Apt A, Dublin, OH 43016-9114 | 2018-04-24 |
1821517855 | Allison K Lombardo | Counselor | 525 Metro Pl N Ste 300, Dublin, OH 43017-5320 | 2017-09-11 |
1629596275 | Julie Battaglia | Counselor | 525 Metro Place, Suite 100, Dublin, OH 43017 | 2017-09-05 |
1447773411 | Crissy Bontrager | Counselor | 6047 Frantz Rd Ste 105, Dublin, OH 43017-3365 | 2017-07-21 |
1639615792 | Serena Fluker | Counselor | 1041 Maid Marian Ln, Dublin, GA 31021-0690 | 2017-01-13 |
1710343645 | Safehaven Counseling Services,llc | Counselor | 2792 Us Highway 80 W, Dublin, GA 31021-0907 | 2016-01-07 |
1538534912 | Tyrone Gonder | Counselor | 206 Long Leaf Way, Dublin, GA 31021-1680 | 2015-12-10 |
Find all providers in DUBLIN |
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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.