MS. LYNN KING SHIRLEY


Address: 120 Relay Rd, Silver Creek, GA 30173
Phone: 7703789024

MS. LYNN KING SHIRLEY (NPI# 1992868608) 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) 1992868608
Entity Type Individual
Full Name MS. LYNN KING SHIRLEY
Credential LPC
Practice Address 120 Relay Rd
Silver Creek
GA 30173
Mailing Address Po Box 1013
Silver Creek
GA 30173-1013
Practice Telephone 7703789024
Practice Fax Number 7707838003
Mailing Telephone 7703789024
Mailing Fax Number 7707838003
Enumeration Date 2006-12-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
004769 GA Behavioral Health & Social Service Providers

Office Location

Street Address 120 RELAY RD
City SILVER CREEK
State GA
Zip Code 30173

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306211784 Sharhonda Barrett Contractor 73 Midway Park Road, Silver Creek, GA 30173 2015-12-10
1003168030 Highland Rivers Community Service Board Community/Behavioral Health 713 Pleasant Valley Rd Se, Silver Creek, GA 30173-2140 2012-10-15
1184808784 Clifford Alman Garrett Jr. Pharmacist 72 Ramblewood Dr Se, Silver Creek, GA 30173-2336 2007-12-19
1245362367 Lisa A Bell Nurse Anesthetist, Certified Registered 12 Ridgefield Dr Se, Silver Creek, GA 30173-2345 2007-03-12
1780738245 Silver Creek Rx LLC Pharmacy 4450 Rockmart Rd Se, Silver Creek, GA 30173-2438 2007-01-22
1194853366 Elbert William Fricks Pharmacist 4450 Rockmart Rd Se, Silver Creek, GA 30173-2438 2007-03-01
1699216416 Abva, Inc Psychiatry & Neurology 4565 Rockmart Rd Se, Unit 1261, Silver Creek, GA 30173-2442 2017-03-13
1720330574 Highland Rivers Community Service Board Community/Behavioral Health 23 Zona Kay Cir Se, Silver Creek, GA 30173-2670 2012-10-03
1639421662 Highland Rivers Community Service Board Community/Behavioral Health 751 Burkhalter Rd Se, Silver Creek, GA 30173-3052 2012-10-15
1649431495 Stacey Davis Respiratory Therapist, Registered 100 Daryl Rd Se, Silver Creek, GA 30173-3241 2008-06-24
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1245830140 Tiffany Alberto Counselor 350 Lyndale Dr Se, Atlanta, GA 30316-2692 2020-10-29
1013517465 Tequila Olivia Banks Counselor 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 2020-10-27
1598365033 Tiffany Johnson Counselor 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 2020-10-26
1568061331 Justin White Counselor 1025 Powers Pl, Alpharetta, GA 30009-8356 2020-10-22
1295334209 Mark Alan Beach Counselor 320 Victory Home Ln, Clarkesville, GA 30523 2020-10-21
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Competitor

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City SILVER CREEK
Zip Code 30173

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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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