CENTERSIDE COUNSELING & CONSULTING LLC (NPI# 1982213716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982213716 |
Entity Type | Organization |
Organization Name | CENTERSIDE COUNSELING & CONSULTING LLC |
Practice Address |
1755 N Brown Rd Ste 200 Lawrenceville GA 30043-2018 |
Practice Telephone | 6783653695 |
Mailing Telephone | 6783653695 |
Enumeration Date | 2020-07-28 |
Last Update Date | 2020-07-28 |
Authorized Official Name | BRANDY WISEMAN (CEO) |
Authorized Official Telephone | 6783653695 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
1755 N BROWN RD STE 200 |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30043-2018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598939035 | Franzetta V Bester | Counselor | 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043-8196 | 2008-04-16 |
1306400593 | Amanda Foster | Counselor | 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043-8196 | 2019-04-24 |
1407419302 | Applied Behavioral Connections Inc | Clinic/Center | 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043-8196 | 2019-04-16 |
1457819658 | M&m Universal Transportation Services LLC | Non-emergency Medical Transport (VAN) | 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043-8196 | 2019-03-06 |
1013492891 | Clearmind Psychiatry LLC | Psychiatry & Neurology | 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043-8196 | 2018-09-27 |
1821406265 | Blessing Healthcare Services Inc | Home Health | 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043-8196 | 2014-07-29 |
1619303385 | Elizabeth L Anderson | Psychologist | 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043 | 2013-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
Find all providers in zip 30043 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134735202 | Lighthouse Family Service Center | Counselor | 150 Stanley Ct Ste B, Lawrenceville, GA 30046-5215 | 2020-09-23 |
1285248005 | Laura Meeks | Counselor | 1929 Whitehawk Ct, Lawrenceville, GA 30043-6641 | 2020-08-31 |
1184237125 | Luz Melania Soto Garcia | Counselor | 760 Longleaf Blvd Ste A, Lawrenceville, GA 30046-8458 | 2020-08-28 |
1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
1366001695 | Holton Ariel Daniel | Counselor | 233 N Main St Ste B, Lawrenceville, VA 23868-1807 | 2019-06-11 |
1326603119 | Easter's Family Services | Counselor | 102 E Hicks St Ste 303, Lawrenceville, VA 23868-1830 | 2019-05-07 |
1023577053 | Brittany Williams | Counselor | 175 Gwinnet Drive, Lawrenceville, GA 30046-8444 | 2019-03-19 |
1699230052 | Josephine Lola Banjoko | Counselor | 1402 Park Hollow Ln, Lawrenceville, GA 30043-3878 | 2019-02-09 |
1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
1902376551 | Lekicha Monique Cabiness | Counselor | 102 Hicks St. Suite 303, Lawrenceville, VA 23868 | 2018-11-27 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30043 |
Please comment or provide details below to improve the information on CENTERSIDE COUNSELING & CONSULTING LLC.
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.