DR. MIRA IHEME (NPI# 1902112055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902112055 |
| Entity Type | Individual |
| Full Name | DR. MIRA IHEME |
| Credential | PH.D. |
| Practice Address |
2227 Idlewood Rd Ste 2 Tucker GA 30084-4827 |
| Practice Telephone | 6789222834 |
| Practice Fax Number | 6789222270 |
| Mailing Telephone | 6789222834 |
| Mailing Fax Number | 6789222270 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC002789 | GA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2566 Shallowford Rd Ne, Suite 104-343, Atlanta, GA 303451249 | 6787328505 | 7709784914 |
| Street Address |
2227 IDLEWOOD RD STE 2 |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-4827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428764 | Jessica Ringsmuth | Counselor | 2376 Main St Ste A, Tucker, GA 30084-4492 | 2020-08-23 |
| 1104476878 | Safe Emotions, LLC | Counselor | 2591 Gleneagles Dr, Tucker, GA 30084-3344 | 2019-09-16 |
| 1083017743 | Jerrell Walker | Counselor | 2323 Main St # A3, Tucker, GA 30084-8522 | 2014-10-08 |
| 1801226964 | Osei Harvey | Counselor | 242 Braxton Pl, Tucker, GA 30084-1871 | 2013-11-26 |
| 1619305778 | Neelofar Sajid | Counselor | 3782 Lawrenceville Hwy, Tucker, GA 30084-5507 | 2013-10-28 |
| 1013219930 | Naomi Black | Counselor | 1103 Dupont Ln, Tucker, GA 30084-3724 | 2010-11-29 |
| 1972805927 | Lauren Pierre | Counselor | 3547 Habersham At Northlake, Bldg. F, Tucker, GA 30084-4001 | 2010-11-24 |
| 1033353461 | Bhavini Solanki-vasan | Counselor | 3547 Habersham At Northlake, Bldg F, Tucker, GA 30084 | 2009-04-29 |
| 1588808620 | Deborah L Pottinger | Counselor | 3548 Habersham At Northlake, Building F, Tucker, GA 30084-4009 | 2009-04-20 |
| 1437399722 | Mollye Daughtry | Counselor | 2105 Vistadale Ct, Tucker, GA 30084-5418 | 2009-02-25 |
| Find all providers in TUCKER | ||||
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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.