KATHERYN D. MCDONELL (NPI# 1174700769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174700769 |
Entity Type | Individual |
Full Name | KATHERYN D. MCDONELL |
Credential | CNS-BC |
Practice Address |
110 Dawn Drive Fayetteville GA 30215 |
Practice Telephone | 7704618882 |
Mailing Telephone | 7704618882 |
Enumeration Date | 2008-01-25 |
Last Update Date | 2008-01-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | LPC1247 | GA | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
RN028740 | GA | Behavioral Health & Social Service Providers |
Street Address |
110 DAWN DRIVE |
City | FAYETTEVILLE |
State | GA |
Zip Code | 30215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801370051 | Truly Nourished, LLC | Dietitian, Registered | 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 | 2018-09-23 |
1104343839 | Pandora G Brown | Specialist | 65 Black Watch Ct, Fayetteville, GA 30215 | 2017-08-23 |
1902264492 | Ty-re Lamont Dixon Sr. | Durable Medical Equipment & Medical Supplies | 220 Shoreline Dr., Fayetteville, GA 30215 | 2016-01-29 |
1962870030 | Matthew Christian Alvarez | Dentist | 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 | 2015-09-08 |
1831534346 | Kevin Tyler Goelz | Radiology | 605 Wentworth Ct, Fayetteville, GA 30215 | 2013-05-10 |
1518249739 | William J. Holcomb | Pharmacist | 880 Hwy 85 South, Fayetteville, GA 30215 | 2011-09-14 |
1407168131 | All Care Home Health Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1000 Cooper Circle, Suite 201, Fayetteville, GA 30215 | 2010-07-10 |
1083854160 | Rachel Blanks | Licensed Practical Nurse | 170 Brookwood Lane, Fayetteville, GA 30215 | 2009-03-02 |
1093964975 | Brenda Carole Hayek | Nurse Practitioner | 735 Glynn Street S, Fayetteville, GA 30215 | 2008-09-16 |
1003930454 | Michelle Marie Marchese-deutscher | Occupational Therapist | 130 Howard Lane, Fayetteville, GA 30215 | 2007-03-19 |
Find all providers in zip 30215 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619583432 | Don Del-raye Jones | Counselor | 521 Rempstone Ln, Fayetteville, NC 28311-5501 | 2020-09-17 |
1023628278 | Quadiedra Amos | Counselor | 3675 Fallstaff Dr, Fayetteville, NC 28306-9079 | 2020-08-03 |
1699385963 | William Jones | Counselor | 4250 Clinton Rd Ste 102, Fayetteville, NC 28312-8517 | 2020-08-03 |
1952919573 | Bianca Thomas | Counselor | 2713 Lake Club Dr, Fayetteville, NC 28304-5349 | 2020-07-20 |
1962029546 | Deanna Dale Dunn | Counselor | 767 W North St Ste 112, Fayetteville, AR 72701-1865 | 2020-06-30 |
1053937490 | Balance Ground Counseling LLC | Counselor | 240 Lofty Eagle Ln, Fayetteville, GA 30214-3531 | 2020-06-22 |
1659994010 | Martanika Michelle Smith | Counselor | 351 Wagoner Dr Ste 105, Fayetteville, NC 28303-4608 | 2020-05-20 |
1477188985 | Qiana Tamieka Gatling | Counselor | 4417 Briton Cir, Fayetteville, NC 28314-2401 | 2020-03-04 |
1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
1194359182 | Meredith Leigh Kimbrough | Counselor | 31 E Center St Ste 210, Fayetteville, AR 72701-5391 | 2020-02-27 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 30215 |
Please comment or provide details below to improve the information on KATHERYN D. MCDONELL.
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.