MRS. ELIZABETH S. ROBERTS (NPI# 1942588454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942588454 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH S. ROBERTS |
| Credential | LPC |
| Practice Address |
315 Dogwood Trl Tyrone GA 30290-2916 |
| Mailing Address |
Po Box 640 Tyrone GA 30290-0640 |
| Practice Telephone | 7707229158 |
| Practice Fax Number | 7704631362 |
| Mailing Telephone | 7707229158 |
| Mailing Fax Number | 7704631362 |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC005597 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013467406 | Elizabeth Ann Roberts | Physician Assistant | 111 Roberts Rd Ste 200, Grindstone, PA 15442-1105 | 2016-10-10 |
| 1457740367 | Elizabeth Roberts | Physical Therapist | 1633 Western Hills Dr Se, Rio Rancho, NM 87124-2490 | 2015-01-15 |
| 1376772673 | Elizabeth Diane Roberts | Counselor | 747 N. Euclid Ave, Ontario, CA 91762-2878 | 2009-07-08 |
| 1720271968 | Elizabeth Erin Roberts | Social Worker | 5215 E 71st St Ste 1000, Tulsa, OK 74136 | 2007-08-21 |
| 1386774404 | Elizabeth Jane Roberts | Specialist/Technologist | 11833 Serenity Hill Dr, Euless, TX 76040-1101 | 2007-03-07 |
| 1063575124 | Elizabeth Hope Jozaitis Roberts | Psychiatry & Neurology | 25460 Medical Center Drive, Suite 203, Murrieta, CA 92562-5985 | 2006-12-19 |
| 1578640140 | Elizabeth Roberts | Physical Therapist | 2530 Mountain Industrial Blvd Ste B, Tucker, GA 30084-3800 | 2006-11-01 |
| 1053922690 | Elizabeth Roberts | Contractor | 1003 Alabaster Cv, Sanford, FL 32771-3607 | 2020-08-16 |
| 1063051613 | Elizabeth Storey Roberts | Behavioral Analyst | 1260 Upper Hembree Rd Ste D, Roswell, GA 30076-4611 | 2019-12-30 |
| 1538703426 | Elizabeth Winn Roberts | Speech-Language Pathologist | 1162 Fort Mill Hwy, Indian Land, SC 29707-7697 | 2019-11-04 |
| Street Address |
315 DOGWOOD TRL |
| City | TYRONE |
| State | GA |
| Zip Code | 30290-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407215361 | Kaitlin Lackey | Occupational Therapist | 105 Glendalough Court, Suite H, Tyrone, GA 30290 | 2016-02-19 |
| 1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
| 1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
| 1427384783 | Exelle Home Care | Home Health | 105 Silverthorn Drive, Tyrone, GA 30290 | 2009-10-21 |
| 1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
| 1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
| 1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
| 1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| 1053898759 | Heather Renee Ellis | Physical Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290 | 2018-07-25 |
| 1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
| Find all providers in zip 30290 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790397164 | Lotus Center for Counseling and Wellness LLC | Counselor | 155 Newfield Dr, Tyrone, GA 30290-2570 | 2020-08-18 |
| 1194244731 | Pamela Elder Pinckney | Counselor | 179 Handley Rd Ste D8, Tyrone, GA 30290-2152 | 2017-09-14 |
| 1831529395 | Maximillian A Jefferies | Counselor | 100 Lloyd Ave Ste E, Tyrone, GA 30290-2157 | 2013-11-20 |
| 1104140573 | Jane Constance Jones | Counselor | 100 Glendalough Ct, Suite E, Tyrone, GA 30290-2942 | 2010-03-15 |
| 1578886545 | Melinda English Kantor | Counselor | 100 Glendalough Ct Ste E, Tyrone, GA 30290-2942 | 2010-03-05 |
| 1912138058 | John Bernard Mcintosh | Counselor | 221 Hospital Dr, Suite 1, Tyrone, PA 16686-1809 | 2009-08-06 |
| 1144378605 | Elizabeth Ream | Counselor | 120 Handley Rd Ste 310, Tyrone, GA 30290-2173 | 2007-01-08 |
| 1548252323 | Kristi L Maxwell | Counselor | 105 Greencastle Rd, Suite B, Tyrone, GA 30290-2937 | 2005-08-18 |
| 1962029702 | Fatema Shabbir Harianawala | Counselor | 120 Handley Rd Ste 310, Tyrone, GA 30290-2173 | 2020-06-27 |
| 1356750806 | Hope H Morgan | Counselor | 100 Glendalough Ct Ste E, Tyrone, GA 30290-2942 | 2014-08-08 |
| Find all providers in TYRONE | ||||
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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.