KATHY BRAWNER (NPI# 1154774297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154774297 |
| Entity Type | Individual |
| Full Name | KATHY BRAWNER |
| Credential | RN |
| Practice Address |
122 Gordon Commercial Dr Ste A Lagrange GA 30240-5754 |
| Practice Telephone | 7068454045 |
| Practice Fax Number | 7068454367 |
| Mailing Telephone | 7068454045 |
| Mailing Fax Number | 7068454367 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | RN093037 | GA | Behavioral Health & Social Service Providers |
| Street Address |
122 GORDON COMMERCIAL DR STE A |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053560748 | Marla Michele Osborne | Social Worker | 122 Gordon Commercial Dr Ste A, Lagrange, GA 30240-5754 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| 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 |
|---|---|---|---|---|
| 1083938492 | Melissa Ann Johnson | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2010-03-15 |
| 1700483948 | Brandie Fitch | Counselor | 836 N Detroit St, Lagrange, IN 46761-1112 | 2020-10-01 |
| 1831711340 | Elizabeth Berry | Counselor | 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 | 2020-05-07 |
| 1417401167 | Mary Susan Thuillard | Counselor | 2155 N State Road 9, Lagrange, IN 46761-8746 | 2016-08-11 |
| 1851751309 | Stephanie Alejandra Garcia | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2016-02-25 |
| 1871904177 | Gaye Hagan | Counselor | 98 Gordon Commercial Dr, Lagrange, GA 30240-5735 | 2014-05-08 |
| 1013347426 | Martha Lynne Earley | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2013-11-21 |
| 1730477902 | Yvonnia J Robertson | Counselor | 102 Main St, Lagrange, GA 30240-3225 | 2011-07-21 |
| 1598906315 | Susan L Marshall | Counselor | 300 Medical Dr, Suite 705, Lagrange, GA 30240-4130 | 2009-03-09 |
| 1023228822 | Alicia Liter | Counselor | 230 Yager Ave, Ste 5, Lagrange, KY 40031-1060 | 2007-05-23 |
| Find all providers in LAGRANGE | ||||
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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.