SHAKENYA BURCH (NPI# 1124508452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124508452 |
| Entity Type | Individual |
| Full Name | SHAKENYA BURCH |
| Credential | LAPC |
| Practice Address |
1640 Powers Ferry Rd Se Ste 300 Marietta GA 30067-5491 |
| Mailing Address |
1538 Eastmont Dr Nw Conyers GA 30012-3555 |
| Practice Telephone | 7702401034 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
APC005453 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1640 POWERS FERRY RD SE STE 300 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-5491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831481068 | Linda Heaviside | Counselor | 1640 Powers Ferry Rd Se Ste 300, Marietta, GA 30067-5491 | 2011-05-05 |
| 1043835275 | Susan Louise Stein | Registered Nurse | 1640 Powers Ferry Rd Se Ste 300, Marietta, GA 30067-5491 | 2020-06-12 |
| 1871065862 | Sharon Williams | Social Worker | 1640 Powers Ferry Rd Se Ste 300, Marietta, GA 30067-5491 | 2019-01-01 |
| 1376025007 | Micah Mabe | Counselor | 1640 Powers Ferry Rd Se Ste 300, Marietta, GA 30067-5491 | 2018-08-29 |
| 1871084194 | Enide Panier | Licensed Practical Nurse | 1640 Powers Ferry Rd Se Ste 300, Building 7, Marietta, GA 30067-5491 | 2018-05-22 |
| 1497269591 | Gregory Prescott Cooper | Marriage & Family Therapist | 1640 Powers Ferry Rd Se Ste 300, Marietta, GA 30067-5491 | 2017-11-28 |
| 1477067627 | Kevin Perry Moore | Social Worker | 1640 Powers Ferry Rd Se Ste 300, Marietta, GA 30067-5491 | 2017-11-27 |
| 1922510106 | Tracey R Cobb | Counselor | 1640 Powers Ferry Rd Se Ste 300, Marietta, GA 30067-5491 | 2017-10-28 |
| 1700230885 | Deandrea Woods | Counselor | 1640 Powers Ferry Rd Se Ste 300, Marietta, GA 30067 | 2016-04-14 |
| 1962848630 | Joy Finch | Counselor | 1640 Powers Ferry Rd Se Ste 300, Marietta, GA 30067-5491 | 2013-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987238 | Kimberly Wallace Lpc LLC | Counselor | 2852 Johnson Ferry Rd Ste 100, Marietta, GA 30062-5686 | 2020-09-19 |
| 1073128609 | Alyssa May Rodriguez | Counselor | 2064 S Cove Trl, Marietta, GA 30066-1922 | 2020-09-10 |
| 1225642374 | April G Lewis | Counselor | 1640 Powers Ferry Rd Se Bldg 20, Marietta, GA 30067-5491 | 2020-09-06 |
| 1336751890 | Brandi Lynne Neogra | Counselor | 207 Colegate Dr Ste D, Marietta, OH 45750-2363 | 2020-08-17 |
| 1427672575 | Monique T Jones | Counselor | 2480 Windy Hill Rd Se Ste 105, Marietta, GA 30067-8608 | 2020-06-04 |
| 1588288864 | Patrick Wilson | Counselor | 1744 Roswell Rd Ste 102, Marietta, GA 30062-3979 | 2020-06-03 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1851928857 | Patricia Li Zerman | Counselor | 1373 Old Virginia Ct Se, Marietta, GA 30067-8461 | 2020-03-27 |
| 1467089227 | Catherine Ibarra | Counselor | 1640 Powers Ferry Rd Se # 300, Marietta, GA 30067-5491 | 2020-03-23 |
| 1306487970 | Brooke Lopes | Counselor | 2655 Dallas Hwy Sw Ste 230, Marietta, GA 30064-2597 | 2019-10-03 |
| Find all providers in MARIETTA | ||||
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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.