KWANIKA POMALES (NPI# 1073949475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073949475 |
| Entity Type | Individual |
| Full Name | KWANIKA POMALES |
| Practice Address |
5425 Sugarloaf Parkway Suite 1101 Lawrenceville GA 30043 |
| Practice Telephone | 6786975793 |
| Mailing Telephone | 6786975793 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2020-10-07 |
| NPI Deactivation Date | 11/09/2015 |
| NPI Reactivation Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC006225 | GA | Behavioral Health & Social Service Providers |
| Street Address |
5425 SUGARLOAF PARKWAY SUITE 1101 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868755 | Tiffany Lynn Brown | Counselor | 534 Windsor Ct, Lawrenceville, GA 30046-6066 | 2020-10-12 |
| 1154945772 | Breanna K. Savage | Counselor | 1520 Cedars Rd, Lawrenceville, GA 30045-5133 | 2020-05-29 |
| 1194345553 | Cherrice Lachall Smith | Counselor | 1669 Elyse Springs Dr, Lawrenceville, GA 30045-4406 | 2020-04-25 |
| 1447870167 | Natasha M Patterson | Counselor | 1017 Quiet Waters Ln, Lawrenceville, GA 30045-7069 | 2020-04-22 |
| 1770112146 | Heart To Heart Counseling Services LLC | Counselor | 1585 Old Norcross Rd Ste 201e, Lawrenceville, GA 30046-4043 | 2020-04-07 |
| 1265060370 | Latoya Nichole Polk | Counselor | 867 Buie Way, Lawrenceville, GA 30045-7191 | 2020-04-01 |
| 1801426697 | Arthur Howard | Counselor | 3100 Princeton Pike Ste 1, Lawrenceville, NJ 08648-2300 | 2020-01-21 |
| 1558821900 | Anethia Schwann Powell | Counselor | 4850 Sugarloaf Pkwy Ste 209-345, Lawrenceville, GA 30044-2859 | 2019-03-21 |
| 1649741174 | Good Life Counseling and Consulting | Counselor | 1585 Old Norcross Rd Ste 204d, Lawrenceville, GA 30046-4043 | 2018-12-10 |
| 1336619691 | Marshalee Jackson | Counselor | 1585 Old Norcross Rd Ste 204b, Lawrenceville, GA 30046-4043 | 2018-11-29 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on KWANIKA POMALES.
| 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.