MICHELE AMY LACKEY (NPI# 1073020061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073020061 |
| Entity Type | Individual |
| Full Name | MICHELE AMY LACKEY |
| Credential | LPC |
| Practice Address |
134a Walker St Sw Atlanta GA 30313-1326 |
| Practice Telephone | 6786825030 |
| Mailing Telephone | 6786825030 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
03665 | GA | Behavioral Health & Social Service Providers |
| Street Address |
134A WALKER ST SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30313-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275067894 | Brittni Fleming | Counselor | 250 Park Avenue West, Atlanta, GA 30313 | 2017-04-20 |
| 1417163916 | Kelly K Hudson | Nurse Practitioner | 239 Ivan Allen Jr. Boulevard, Atlanta, GA 30313 | 2007-05-14 |
| 1134158413 | Francine Blonnetta Ricketts | Physician Assistant | 430 Centennial Olympic Park Drive, Atlanta, GA 30313 | 2006-06-30 |
| 1053348540 | Deborah Robinson Maclean | Specialist/Technologist | Healthworks/the Coca-cola Company, One Coca-cola Plaza - Hmc, Atlanta, GA 30313 | 2006-06-28 |
| 1851345904 | William C Warren Iv | Pediatrics | 239 Ivan Allen Jr Blvd, Atlanta, GA 30313 | 2006-05-22 |
| 1790222834 | Courtney Dean | Specialist/Technologist | 150 Bobby Dodd Way, Atlanta, GA 30313 | 2017-01-27 |
| 1932503711 | Emory Employer Based Health Services | Clinic/Center | 1 Coca Cola Plz Nw, Atlanta, GA 30313 | 2014-10-22 |
| 1124342019 | Professional Speech & Language Therapy, Inc | Clinic/Center | 210 Walker St Sw Unit 5, Atlanta, GA 30313-1213 | 2010-03-21 |
| 1285145789 | Express At Northside LLC | Pharmacy | 296 Northside Dr Sw, Atlanta, GA 30313-1228 | 2017-10-24 |
| 1730155144 | Javonya Donell Clemons | Speech-Language Pathologist | 210 Walker Street, Loft 5, Atlanta, GA 30313-1257 | 2006-02-24 |
| Find all providers in zip 30313 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1356940712 | Shoshana Dayanim Agichtein | Counselor | 1380 Jody Ln Ne, Atlanta, GA 30329-3522 | 2020-10-18 |
| 1285231951 | Mecall Pearson | Counselor | 1350 Spring St Nw Ste 225, Atlanta, GA 30309-2866 | 2020-10-06 |
| 1447862172 | Dr. Burwell Speaks, LLC | Counselor | 3495 Buckhead Loop Ne Ste 1112, Atlanta, GA 30326-1528 | 2020-08-24 |
| 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 |
| 1376161760 | Lisa J Strube | Counselor | 49 Lenox Pointe Ne Ste C, Atlanta, GA 30324-7426 | 2020-07-11 |
| 1881210201 | Destiny Winters | Counselor | 900 Dekalb Ave Ne Ste K, Atlanta, GA 30307-2501 | 2020-06-22 |
| 1912522582 | Dorian Ellis | Counselor | 5470 Lemoyne Dr Sw, Atlanta, GA 30331-9206 | 2020-06-10 |
| Find all providers in ATLANTA | ||||
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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.