EDLYN LLC (NPI# 1154935450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154935450 |
| Entity Type | Organization |
| Organization Name | EDLYN LLC |
| Practice Address |
3267 Watson Meadow Ln Loganville GA 30052-8297 |
| Practice Telephone | 7187479494 |
| Mailing Telephone | 7187479494 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | VICTOR T GRIMES (DIRECTOR) |
| Authorized Official Telephone | 8005409963 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3267 WATSON MEADOW LN |
| City | LOGANVILLE |
| State | GA |
| Zip Code | 30052-8297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482397 | A Better Life Together, Inc | Day Training, Developmentally Disabled Services | 3343 Woodshade Drive, Loganville, GA 30052 | 2020-09-18 |
| 1184285025 | Felicia Maria Anderson | Counselor | 272 Fox Run, Loganville, GA 30052 | 2019-06-21 |
| 1225502768 | Jackie Kabahuma Zziwa | Registered Nurse | 4072 Atlanta High Way, Loganville, GA 30052 | 2019-01-17 |
| 1598243024 | Afolasade A Adeyemo | In Home Supportive Care | 154 Towler Shoals Dr, Loganville, GA 30052 | 2018-08-06 |
| 1831688654 | Julia Smith | Physician Assistant | 2745 Loganville Hwy, Loganville, GA 30052 | 2018-05-07 |
| 1306335534 | Emily Jannine Jamshedi | Physician Assistant | 3461 Skyland Ridge Ct, Loganville, GA 30052 | 2018-05-03 |
| 1346738655 | Laura Martha Avila | Nurse Practitioner | 221 The Esplanade Way Se, Loganville, GA 30052 | 2018-04-23 |
| 1942738901 | Local Dental Partners, LLC | Clinic/Center | 4353 Atlanta Highway Suite. 300, Loganville, GA 30052 | 2017-06-02 |
| 1649702804 | Cynthia Reeves | Counselor | 4160 Logan Drive, Loganville, GA 30052 | 2017-03-28 |
| 1689049330 | Samuel S Kwon - Loganville Dmd PC | Dentist | 2101 Baker Carter Drive, Suite 200, Loganville, GA 30052 | 2015-12-07 |
| Find all providers in zip 30052 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727021 | Affinity Care Counseling Services LLC | Counselor | 4072 Oak Field Dr, Loganville, GA 30052-8182 | 2020-07-06 |
| 1992347017 | Bernadette Warner | Counselor | 919 Yancey Ct, Loganville, GA 30052-9037 | 2019-10-09 |
| 1184285025 | Felicia Maria Anderson | Counselor | 272 Fox Run, Loganville, GA 30052 | 2019-06-21 |
| 1487177911 | Cheryl Egan Fears | Counselor | 4402 Lawrenceville Rd Ste 205, Loganville, GA 30052-2629 | 2017-07-17 |
| 1568909786 | Cheryl Lockett | Counselor | 1123 Baltic Ct, Loganville, GA 30052-6762 | 2017-01-25 |
| 1700321320 | Rajeive Antwan Manradgh | Counselor | 109 White Rose Ct, Loganville, GA 30052-8644 | 2017-01-05 |
| 1972955359 | Janice Turber | Counselor | 4103 Rocks Ln, Loganville, GA 30052-6683 | 2016-07-08 |
| 1548626013 | Thomi Hooton | Counselor | 4049 Savannah Ridge Ct, Loganville, GA 30052-8119 | 2016-01-13 |
| 1396135596 | Elizabeth Johnson | Counselor | 553 Ashton Manor Dr, Loganville, GA 30052-5387 | 2015-01-27 |
| 1922036508 | Promedica, Inc. | Counselor | 2430 Tucker Dr, Bldg A, Loganville, GA 30052-4390 | 2006-06-30 |
| Find all providers in LOGANVILLE | ||||
| City | LOGANVILLE |
| Zip Code | 30052 |
Please comment or provide details below to improve the information on EDLYN LLC.
| 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.