COCISE GRACE (NPI# 1114405057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114405057 |
| Entity Type | Individual |
| Full Name | COCISE GRACE |
| Credential | LPC |
| Practice Address |
10090 Medlock Bridge Rd Ste 100 Johns Creek GA 30097-4428 |
| Mailing Address |
250 Corporate Center Ct Stockbridge GA 30281-6388 |
| Practice Telephone | 4704826508 |
| Practice Fax Number | 7704769750 |
| Mailing Telephone | 7703898100 |
| Mailing Fax Number | 6787826622 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC010207 | GA | Behavioral Health & Social Service Providers |
| Street Address |
10090 MEDLOCK BRIDGE RD STE 100 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-4428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208575 | Cally Taylor Short | Counselor | 2850 Old Alabama Rd, Johns Creek, GA 30022-5051 | 2019-07-28 |
| 1114393915 | Meredith Weitnauer | Counselor | 10050 Medlock Bridge Rd, Johns Creek, GA 30097-4427 | 2015-08-15 |
| 1316363450 | Mitra Yavari | Counselor | 9800 Medlock Bridge Rd Ste 2, Johns Creek, GA 30097-5989 | 2014-03-13 |
| 1982972246 | Constance Cromartie | Counselor | 11950 Jones Bridge Rd, Suite 115-129, Johns Creek, GA 30005-8911 | 2011-12-01 |
| 1023390309 | Jessica Slovensky Fouts | Counselor | 11340 Lakefield Dr Ste 200, Johns Creek, GA 30097-2456 | 2011-09-13 |
| 1720367592 | Shiobhan Sheridan | Counselor | 9810 Medlock Bridge Road., Bldg. B, Suite 101, Johns Creek, GA 30097 | 2011-08-11 |
| 1497982599 | Danielle Chambers Rietta | Counselor | 5805 State Bridge Rd Ste G158, Johns Creek, GA 30097-8220 | 2009-06-16 |
| 1194829572 | Kellie Gwaltney | Counselor | 2750 Old Alabama Rd, Suite 200, Johns Creek, GA 30022-8593 | 2006-09-07 |
| 1407400401 | Deiona Carter | Counselor | 2750 Old Alabama Rd # 200, Johns Creek, GA 30022 | 2019-07-29 |
| 1568029650 | Robert Ian Henyon | Counselor | 10700 State Bridge Rd, Johns Creek, GA 30022-7491 | 2019-05-23 |
| Find all providers in JOHNS CREEK | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
Please comment or provide details below to improve the information on COCISE GRACE.
| 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.