MRS. KRISTOL DALEY (NPI# 1134779366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134779366 |
| Entity Type | Individual |
| Full Name | MRS. KRISTOL DALEY |
| Other Name | MS. KRISTOL CLARK |
| Credential | NCC, LPC |
| Practice Address |
1343 E Fayetteville Rd Riverdale GA 30296-3101 |
| Practice Telephone | 4045188219 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC011299 | GA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
APC005819 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1343 E FAYETTEVILLE RD |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30296-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532118 | Denniesha Andrene Knight | Counselor | 1343 E Fayetteville Rd, Riverdale, GA 30296-3101 | 2020-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255973251 | Octavia Bostic | Nurse's Aide | 7670 Creekside Lane, Riverdale, GA 30296 | 2019-10-10 |
| 1548746829 | Verna Stoner-frazier | Physical Therapist | 1542 Bethaven Rd, Riverdale, GA 30296 | 2018-07-19 |
| 1346762705 | Letty Searcy | Case Manager/Care Coordinator | 7125 E. Village Ct, Riverdale, GA 30296 | 2017-07-07 |
| 1225402639 | Optima Physical Therapy Services | Clinic/Center | 808 Commerce Boulevard, Riverdale, GA 30296 | 2015-11-23 |
| 1437409224 | Mobile Nursing Service LLC | Nursing Care | 829 Scott Rd, Riverdale, GA 30296 | 2012-09-19 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1386720118 | Absolute Healthcare & Rehab Center | Chiropractor | 1807 Hwy 138 Sw, Riverdale, GA 30296 | 2006-10-27 |
| 1467558650 | Daniel Tesfa Redie | Dentist | 1849 Hwy 138, Riverdale, GA 30296 | 2006-09-15 |
| 1033214184 | Malcolm Hill | Chiropractor | 1296 Hwy 138, Suite 105, Riverdale, GA 30296 | 2006-09-13 |
| Find all providers in zip 30296 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414578 | Keva Ellis | Counselor | 6815 W Fayetteville Rd, Riverdale, GA 30296-2528 | 2020-07-09 |
| 1346886686 | Jeremiah Johnson | Counselor | 7430 Royale Ln, Riverdale, GA 30296-7223 | 2019-11-21 |
| 1841835600 | Jernica Mcneil | Counselor | 7237 Mockingbird Trl, Riverdale, GA 30274-3732 | 2019-11-15 |
| 1104287606 | Luciana Renea Wright | Counselor | 6373 Bell Haven Ln, Riverdale, GA 30296-2553 | 2016-03-10 |
| 1285023457 | Shalette Lawton | Counselor | 150 Medical Way Suite F1, Riverdale, GA 30274-3027 | 2015-01-12 |
| 1639406945 | Martalyn Grace Stephens-billingsley | Counselor | 7000 Kimberly Ln, Riverdale, GA 30296-2000 | 2009-11-06 |
| 1942432885 | Waikiki L Upshaw | Counselor | 286 Highway 138 Sw, Suite E, Riverdale, GA 30274-4010 | 2009-08-11 |
| 1417112749 | Thomas A Parker | Counselor | 1999 Levgard Ln, Riverdale, GA 30296-2427 | 2008-07-25 |
| 1205099926 | Juanita M. Dunn | Counselor | 302 W 145th St, Riverdale, IL 60827-2711 | 2008-07-02 |
| 1962671131 | Keisha Latonya Pou | Counselor | 6961 Apache Ln, Riverdale, GA 30274-3162 | 2008-02-21 |
| Find all providers in RIVERDALE | ||||
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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.