MRS. LYDIA MAE ROLL (NPI# 1912030164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912030164 |
| Entity Type | Individual |
| Full Name | MRS. LYDIA MAE ROLL |
| Credential | M.S. |
| Practice Address |
106 E Center St Carrollton GA 30117-3303 |
| Mailing Address |
7106 E Isleway Ct Villa Rica GA 30180-3969 |
| Practice Telephone | 7706393804 |
| Practice Fax Number | 7708308322 |
| Mailing Telephone | 7706393804 |
| Mailing Fax Number | 7708308322 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
001520 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 321689374A | 05 |
| Street Address |
106 E CENTER ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578635454 | Michael Peter Younce | Social Worker | 106 E Center St, Carrollton, GA 30117 | 2006-11-15 |
| 1649407545 | Christina Russell | Counselor | 106 E Center St, Carrollton, GA 30117-3303 | 2009-06-18 |
| 1063699791 | David P. Hartley,m.d., P.C. | Psychiatry & Neurology | 106 E Center St, Carrollton, GA 30117-3303 | 2008-01-24 |
| 1023164225 | David P. Hartley | Psychiatry & Neurology | 106 E Center St, Carrollton, GA 30117-3303 | 2007-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609344928 | Stephen Harold Simoson | Counselor | 4020 Huffines Blvd Ste 120, Carrollton, TX 75010-6524 | 2018-11-05 |
| 1013416221 | Emily Thomas | Counselor | 1428 W Hebron Pkwy Ste 135, Carrollton, TX 75010-6345 | 2018-02-03 |
| 1245770700 | Weslee Warner | Counselor | 783 Jones Ave Nw, Carrollton, OH 44615-9434 | 2017-03-03 |
| 1376953364 | Pope Counseling, LLC | Counselor | 251 Prism Dr., Suite 11, Carrollton, GA 30116 | 2014-04-30 |
| 1366776403 | Kenneth Turner | Counselor | 109 Danny Dr Apt C, Carrollton, GA 30117-8733 | 2009-09-22 |
| 1114172533 | Benjamin Powell Curry Jr. | Counselor | 190 William E. Hill Drive, Carrollton, AL 35447 | 2008-11-26 |
| 1164685046 | Linda K Noblin | Counselor | 3805 Pinewood Cir, Carrollton, TX 75007-1935 | 2008-07-09 |
| 1710144027 | Faye Ruth Creel | Counselor | 707 Old Camp Church Road, Carrollton, GA 30117-8291 | 2008-05-22 |
| 1275710667 | Kenyatta Wilson | Counselor | 500 Old Bremen Rd, Suite 101, Carrollton, GA 30117-5216 | 2008-01-28 |
| 1285817890 | Pickens County Medical Center Senior Care Outpatient Clinic | Counselor | 241 Hwy 17 N, Carrollton, AL 35447 | 2007-12-06 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on MRS. LYDIA MAE ROLL.
| 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.