CORA LEE INSTITUTE (NPI# 1083953178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083953178 |
| Entity Type | Organization |
| Organization Name | CORA LEE INSTITUTE |
| Practice Address |
3080 Highlands Pkwy Se Ste A Smyrna GA 30082-5181 |
| Practice Telephone | 7706342349 |
| Practice Fax Number | 7709419919 |
| Mailing Telephone | 7706342349 |
| Mailing Fax Number | 7709419919 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |
| Authorized Official Name | TYWANDA ELLISON LIGHTFOOT (OWNER) |
| Authorized Official Telephone | 7706342349 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY003343 | GA | Behavioral Health & Social Service Providers |
| Street Address |
3080 HIGHLANDS PKWY SE STE A |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-5181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598858615 | Robert Bumgardner | Nurse Practitioner | 3080 Highlands Pkwy Se, Smyrna, GA 30082-5181 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063894004 | Debra Ann Geisel | Psychologist | 1234 King Springs Ct Se, Smyrna, GA 30080-5516 | 2015-06-26 |
| 1508206590 | Jillian Wolf | Psychologist | 433 Nissan Drive, Ste. 303, Smyrna, TN 37167-4360 | 2013-07-05 |
| 1174862288 | Martha Louise Dorsey | Psychologist | 133 Ennisbrook Dr Se, Smyrna, GA 30082-2448 | 2013-02-08 |
| 1972709327 | Barry B Tonkon | Psychologist | 2973 Big Woods Road, Smyrna, DE 19977-2942 | 2007-06-22 |
| 1285749655 | Carlton Lee Quarells | Psychologist | 1850 Lake Park Dr Se Ste 106, Smyrna, GA 30080-7642 | 2006-08-19 |
| 1740699131 | Tranquility Pointe Psychological Services, LLC | Psychologist | 4015 South Cobb Drive, Ste 210, Smyrna, GA 30080 | 2014-08-11 |
| 1285994319 | Michael S Mcgarry Phd PC | Psychologist | 4015 S Cobb Dr Se, Suite 1, Smyrna, GA 30080-6303 | 2012-05-23 |
| 1083889307 | Wood's Psychological Services, Inc | Psychologist | 1330 Concord Rd Se, Suite 205, Smyrna, GA 30080-4375 | 2008-04-28 |
| 1285804120 | Evolve Consulting | Psychologist | 4045 Orchard Rd Se, Suite 110, Smyrna, GA 30080-4902 | 2008-03-06 |
| 1437367190 | Psychological Solutions of Atlanta, P.C. | Psychologist | 4045 Orchard Rd Se, Suite 110, Smyrna, GA 30080-4902 | 2007-05-18 |
| Find all providers in SMYRNA | ||||
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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.