KELLY EVANS JOSLIN


Address: 604 W Main St, Atlanta, TX 75551-2529
Phone: 9037960776

KELLY EVANS JOSLIN (NPI# 1033102603) 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) 1033102603
Entity Type Individual
Full Name KELLY EVANS JOSLIN
Credential MED., L.P.C.
Practice Address 604 W Main St
Atlanta
TX 75551-2529
Mailing Address Po Box 943
Atlanta
TX 75551-0943
Practice Telephone 9037960776
Practice Fax Number 9037999776
Mailing Telephone 9037960776
Mailing Fax Number 9037999776
Enumeration Date 2005-08-29
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
10888 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BC/BS PROVIDER NUMBER 2163LC 01

Office Location

Street Address 604 W MAIN ST
City ATLANTA
State TX
Zip Code 75551-2529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417931924 Kelly Evans Joslin Counselor 604 W Main St, Atlanta, TX 75551-2529 2005-11-30

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1447668538 Winnie-stowell Hospital District Skilled Nursing Facility 1104 S. William Street, Atlanta, TX 75551 2014-08-01
1912176983 Glenna B Frost Speech-Language Pathologist 1001 West Main Street, Atlanta, TX 75551 2008-02-25
1043438823 Shelia Kaye Langbartels Optometrist 201 Hwy. 59 South, Atlanta, TX 75551 2007-04-24
1598838583 Tim C Hogan Dentist 402 S William St, Hogan Dental Clinic, Atlanta, TX 75551 2006-11-16
1003991290 Jimmy Glenn Stillwell Nurse Anesthetist, Certified Registered 1007 S Williams, Atlanta Memorial Hospital, Atlanta, TX 75551 2006-10-26
1336248376 Miles Drug Company Pharmacist 122 N East St, Atlanta, TX 75551 2006-09-22
1417050667 Danny Warren Addington Dentist 307 East Hiram, Atlanta, TX 75551 2006-09-06
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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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1386254761 Jocelyn Patterson Mosley Counselor 2030 Gramercy Cir, Atlanta, GA 30341-1779 2020-07-31
1205444718 Vanessa Lorraine Elizabeth Johnson Counselor 1388 Gates Cir Se, Atlanta, GA 30316-4092 2020-07-21
1891303426 Cheryl E Williams Counselor 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 2020-07-20
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1881210201 Destiny Winters Counselor 900 Dekalb Ave Ne Ste K, Atlanta, GA 30307-2501 2020-06-22
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Competitor

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City ATLANTA
Zip Code 75551

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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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