MS. YVONNE MARIE RUSS


Address: 415 Clark Street, Talbotton, GA 31827
Phone: 7065731058

MS. YVONNE MARIE RUSS (NPI# 1922251933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922251933
Entity Type Individual
Full Name MS. YVONNE MARIE RUSS
Credential CACII
Practice Address 415 Clark Street
Talbotton
GA 31827
Mailing Address 415 Clark Street
P.o. Box 717
Talbotton
GA 31827
Practice Telephone 7065731058
Mailing Telephone 7065731058
Enumeration Date 2008-11-04
Last Update Date 2012-06-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA CERTIFIED ADDICTION COUNSELOR 1628-R 01

Office Location

Street Address 415 CLARK STREET
City TALBOTTON
State GA
Zip Code 31827

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841664166 Navigation Counseling Services, Inc Counselor 45 West Tyler Street, Talbotton, GA 31827 2015-11-24
1831327782 Charles Matthew Borders Pharmacist 35 Washington Ave., Talbotton, GA 31827 2009-06-30
1568642569 Lorraine Brown, D.o., P.C. Internal Medicine 39 West Tyler St, Talbotton, GA 31827 2007-11-07
1831293158 Lorraine Brown Internal Medicine 39 W Tyler Street, Talbotton, GA 31827 2006-09-08
1053348011 Talbot County Board of Health Public Health or Welfare 1073 Woodland Hwy, Talbotton, GA 31827 2006-06-27
1013951706 Valley Healthcare System Inc Clinic/Center 341 N Washington Ave, Talbotton, GA 31827 2006-06-15
1396226817 The Sunshine Agency, LLC Counselor 220 Dozier Road, Talbotton, GA 31827 2018-08-23
1467505909 New Horizons Csb Harmon Center Counselor 159 Park St, Talbotton, GA 31827-2104 2007-01-19
1578937520 Lakeshia Renay Scott Counselor 220 Dozier Road, Talbotton, GA 31827-3182 2015-11-13
1104206622 Stacey Butz Optometrist 3142 North Thomas, Memphis, TN 31827-3234 2015-06-01
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1972110674 Tiffany Scott Counselor 9071 Jimmy Lee Cir, Jonesboro, GA 30238-7009 2020-09-26
1346856853 Mahaly H Ashley Counselor 367 Richardson Rd, Calhoun, GA 30701 2020-09-21
1780296723 Janet Brown Counselor 166b Mount Pleasant Church Rd, Pineview, GA 31071-5248 2020-08-20
1598377038 Angie Hamilton Counselor 5101 Waterford Dr Sw, Mableton, GA 30126-1742 2020-08-17
1255942355 Sonia Diane Glass Counselor 6285 Littleton Dr, Union City, GA 30291-1071 2020-08-12
1679198410 Lorri Michelle Strickland Counselor 1040 Us Hwy 280 W, Pembroke, GA 31321 2020-06-08
1184246118 Christopher White Counselor 1430 Desoto Ave Sw, Atlanta, GA 30310-4340 2020-05-13
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Competitor

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City TALBOTTON
Zip Code 31827

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Dataset Information

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.

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