MRS. CONNIE GIBSON (NPI# 1144650425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144650425 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE GIBSON |
| Credential | LPC |
| Practice Address |
121 Jackson St Newnan GA 30263-1572 |
| Practice Telephone | 7702515873 |
| Practice Fax Number | 7703042201 |
| Mailing Telephone | 7702515873 |
| Mailing Fax Number | 7703042201 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1876 | GA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC006647 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083241350 | Connie Ann Gibson | Counselor | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2020-03-25 |
| 1003180340 | Connie Francis Gibson | Psychologist | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2012-03-05 |
| 1013223635 | Connie Gibson | Pharmacist | 10919 Louetta Rd, Houston, TX 77070-1710 | 2010-08-19 |
| 1386778918 | Connie J Gibson | Social Worker | 540 E 1st St, Waconia, MN 55387-1600 | 2007-03-15 |
| Street Address |
121 JACKSON ST |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263-1572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114985785 | Thomas Smith Freeman | Psychologist | 121 Jackson St, Newnan, GA 30263-1572 | 2006-05-03 |
| 1740764851 | Sarah B Lyle | Psychologist | 121 Jackson St, Newnan, GA 30263-1572 | 2018-09-25 |
| 1609279967 | Sandra Wilson | Psychologist | 121 Jackson St, Newnan, GA 30263-1572 | 2014-10-01 |
| 1952732703 | Joyce Divinyi | Counselor | 121 Jackson St, Newnan, GA 30263-1572 | 2013-12-04 |
| 1730526021 | Kim B Alford | Speech-Language Pathologist | 121 Jackson St, Newnan, GA 30263-1572 | 2013-05-28 |
| 1215266333 | D'netra Nichole Smith | Counselor | 121 Jackson St, Newnan, GA 30263-1572 | 2009-12-19 |
| 1790922565 | Erin Davis | Marriage & Family Therapist | 121 Jackson St, Newnan, GA 30263-1572 | 2009-01-14 |
| 1043253982 | Joseph Adams | Counselor | 121 Jackson St, Newnan, GA 30263-1572 | 2006-06-14 |
| 1457399966 | Janet Gaffney | Psychologist | 121 Jackson St, Newnan, GA 30263-1572 | 2006-06-04 |
| 1871541169 | Pamela Sue Cook | Counselor | 121 Jackson St, Newnan, GA 30263-1572 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
| Find all providers in zip 30263 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350957 | Diane J Schaab | Counselor | 370 S Shore Dr, Newnan, GA 30263-5927 | 2020-06-09 |
| 1790311926 | Zelda Hines | Counselor | 37 Calumet Pkwy Ste 102, Newnan, GA 30263-6734 | 2020-03-19 |
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1316582208 | Hope Healing and Harmony Counseling Services | Counselor | 210 Jefferson Pkwy Ste A, Newnan, GA 30263-5886 | 2019-11-14 |
| 1861908691 | Donna Williamson Hansman | Counselor | 30 E Washington St Ste D, Newnan, GA 30263-1921 | 2017-12-15 |
| 1962940098 | Darren Whitfield | Counselor | 49 Brisbane Ct, Newnan, GA 30263-2370 | 2017-02-09 |
| 1215301767 | Ann Marie Kerlin | Counselor | 21 Tanglewood Rd, Newnan, GA 30263-4110 | 2015-11-20 |
| 1932596467 | Georgia Community Clinic, LLC | Counselor | 8 Franklin Rd, Suite A, Newnan, GA 30263-1312 | 2015-04-22 |
| 1295121606 | John Kennebrew | Counselor | 249 Temple Ave Ste 263, Newnan, GA 30263-1369 | 2015-04-13 |
| 1851780118 | Stephanie Marie Landrum | Counselor | 3229 Highway 34 E Ste 104, Newnan, GA 30265-2196 | 2015-01-09 |
| Find all providers in NEWNAN | ||||
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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.