HENRIETTA EGBUNIKE (NPI# 1134570286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134570286 |
| Entity Type | Individual |
| Full Name | HENRIETTA EGBUNIKE |
| Practice Address |
2165 W Park Ct Stone Mountain GA 30087-3550 |
| Mailing Address |
100 Chaselake Dr Jonesboro GA 30236-7712 |
| Practice Telephone | 4045223555 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Nw 165th St, Miami, FL 331696306 | 7572951394 |
| Street Address |
2165 W PARK CT |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710124664 | First Choice Medical Equipment | Durable Medical Equipment & Medical Supplies | 2165 W Park Ct, Suite A, Stone Mountain, GA 30087-3550 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871941203 | Sharron Bankhead | Counselor | 5066 Fieldgreen Xing, Stone Mountain, GA 30088-3103 | 2016-05-26 |
| 1649630385 | Candace Brooke Starks | Counselor | 5280 Woodland Pass Cir, Stone Mountain, GA 30087-2223 | 2016-02-23 |
| 1912371022 | Tombari Sigalo | Counselor | 5428 Fieldgreen Dr, Stone Mountain, GA 30088-2814 | 2015-12-01 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1225448558 | Terri Harp | Counselor | 1066 Autumn Crest Dr, Stone Mountain, GA 30083-5153 | 2014-05-08 |
| 1255686390 | Latanga Montgomery | Counselor | 639 Post Road Dr, Suite 1a, Stone Mountain, GA 30088-2226 | 2012-07-16 |
| 1609005198 | Precious A Brannon | Counselor | 3918 Dunaire Dr, Stone Mountain, GA 30083-4400 | 2009-07-07 |
| 1255529582 | Ford Family Service, Inc. | Counselor | 1305 Panola Rd, Stone Mountain, GA 30088-3303 | 2007-10-11 |
| 1831240290 | Care & Counseling Center of Georgia | Counselor | 5901 Hugh Howell Rd, Stone Mountain, GA 30087-2402 | 2007-01-14 |
| 1821641382 | Southeast Arts Association | Counselor | 477 Village Square Ct, Stone Mountain, GA 30083-4274 | 2019-07-23 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
Please comment or provide details below to improve the information on HENRIETTA EGBUNIKE.
| 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.