KELLIE MOORE (NPI# 1932487303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932487303 |
| Entity Type | Individual |
| Full Name | KELLIE MOORE |
| Credential | LPC |
| Practice Address |
3670 Highlands Pkwy Se Building 6 Smyrna GA 30082-5184 |
| Practice Telephone | 4048567600 |
| Practice Fax Number | 4048567601 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC006309 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699261636 | Kellie Joan Wilcox Moore | Naturopath | 2210 242nd St Sw, Bothell, WA 98021 | 2018-07-02 |
| 1548760580 | Kellie Moore | Registered Nurse | 3315 Marquart St Ste 209, Houston, TX 77027-6027 | 2018-02-16 |
| 1942705140 | Kellie Lynn Moore | Dentist | 251 E Huron St, Chicago, IL 60611 | 2018-03-28 |
| 1437544079 | Kellie Moore | Pediatrics | Msc10 5590 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-03-31 |
| 1255744090 | Kellie Moore | Physical Therapist | 2319 Prince Ave, Athens, GA 30606-6030 | 2014-06-10 |
| Street Address |
3670 HIGHLANDS PKWY SE BUILDING 6 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-5184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891763140 | Atlanta Interventional Institute P.C. | Radiology | 3670 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2006-03-11 |
| 1891107470 | Tonicia Brandon | Counselor | 3670 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2014-05-29 |
| 1124096219 | John C Lipman | Radiology | 3670 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1114535408 | Ramona J Wilson | Counselor | 4684 Wehunt Commons Dr Se, Smyrna, GA 30082-7312 | 2020-07-22 |
| 1194340521 | Amanda Almeida | Counselor | 1024 Cumberland Glen Ln Se, Smyrna, GA 30080-4063 | 2020-06-11 |
| 1356974075 | Bianca Walker | Counselor | 4018 Benell Ct Se, Smyrna, GA 30082-3905 | 2020-02-20 |
| 1801435888 | Calvin Kittrell Smith | Counselor | 2350 Cobb Pkwy Se Apt 9c, Smyrna, GA 30080-2708 | 2019-12-23 |
| 1932745551 | Courtney Laye | Counselor | 3642 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2019-11-19 |
| 1659929214 | Nykeya Jjmes | Counselor | 2411 Ellard Ter Se, Smyrna, GA 30080-4808 | 2019-08-27 |
| 1477011369 | Tracy L Hurst | Counselor | 1275 Church St Se, Smyrna, GA 30080-3532 | 2019-03-09 |
| 1447720453 | Mary Campbell | Counselor | 1264 Concord Rd Se Ste 106, Smyrna, GA 30080-5302 | 2018-12-03 |
| 1699242875 | Erin Michelle Richardson | Counselor | 400 Technology Ct Se, Smyrna, GA 30082-5237 | 2018-10-25 |
| Find all providers in SMYRNA | ||||
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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.