KELLIE GWALTNEY (NPI# 1194829572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194829572 |
| Entity Type | Individual |
| Full Name | KELLIE GWALTNEY |
| Credential | MA, LMFT, LPC |
| Practice Address |
2750 Old Alabama Rd Suite 200 Johns Creek GA 30022-8593 |
| Practice Telephone | 6788935300 |
| Practice Fax Number | 6788935312 |
| Mailing Telephone | 6788935300 |
| Mailing Fax Number | 6788935312 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC008494 | GA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | MFT001506 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013315563 | Kellie Gwaltney | Advanced Practice Midwife | 3400 Avenue of The Arts, Apt. #g317, Costa Mesa, CA 92626-1927 | 2014-12-16 |
| Street Address |
2750 OLD ALABAMA RD SUITE 200 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30022-8593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955031 | Maxwell K Merritt Iv | Counselor | 2750 Old Alabama Rd, Johns Creek, GA 30022 | 2019-07-28 |
| 1336623784 | Isabella Tsui | Counselor | 2750 Old Alabama Rd, Johns Creek, GA 30022 | 2018-09-21 |
| 1982127809 | Katherine E Beals | Counselor | 2750 Old Alabama Rd, Johns Creek, GA 30022-8593 | 2017-07-23 |
| 1710407978 | Brittany Glaser | Counselor | 2750 Old Alabama Rd, Johns Creek, GA 30022-8593 | 2017-06-20 |
| 1205370566 | Mariah Dantzler | Counselor | 2750 Old Alabama Rd, Suite 200, Johns Creek, GA 30022-8593 | 2016-12-06 |
| 1609240993 | Sarah Ann Hunt | Counselor | 2750 Old Alabama Rd, Ste 200, Johns Creek, GA 30022-8593 | 2015-11-24 |
| 1609246669 | Lee Anna King | Counselor | 2750 Old Alabama Rd, Johns Creek, GA 30022-8593 | 2015-10-03 |
| 1053703942 | Jordan Yates | Counselor | 2750 Old Alabama Rd, Suite 200, Johns Creek, GA 30022-8593 | 2015-03-02 |
| 1922402817 | Rebecca Lynn Marshall | Clinical Neuropsychologist | 2750 Old Alabama Rd, Suite 200, Johns Creek, GA 30022-8593 | 2014-10-21 |
| 1801094537 | Arthur Ewell Hardman | Counselor | 2750 Old Alabama Rd, Suite 200, Johns Creek, GA 30022-8593 | 2007-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154674364 | Saterah Milik Bigham | Marriage & Family Therapist | 125 Wyndlam Ct, Johns Creek, GA 30097-8408 | 2012-10-25 |
| 1730728064 | Rachel Alerte | Marriage & Family Therapist | 11138 State Bridge Rd Ste 100a, Johns Creek, GA 30022-7465 | 2020-01-03 |
| 1710461298 | Megan Elizabeth Barfield | Marriage & Family Therapist | 2750 Old Alabama Rd # 200, Johns Creek, GA 30022 | 2018-09-20 |
| 1851747067 | Jonathan Hindson | Marriage & Family Therapist | 2750 Old Alabama Rd Ste 200, Johns Creek, GA 30022-8593 | 2016-05-05 |
| 1942624580 | Patrick Edward Gilliland, LLC | Marriage & Family Therapist | 9635 Ventana Way, Suite 101, Johns Creek, GA 30022-8620 | 2014-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869183 | Michael Tanner | Marriage & Family Therapist | 5763 Village Loop, Fairburn, GA 30213-4641 | 2020-10-24 |
| 1316546401 | Joseph Keith Brewton | Marriage & Family Therapist | 210 Creekstone Rdg, Woodstock, GA 30188-3732 | 2020-10-20 |
| 1063010528 | Karla Schlumbrecht | Marriage & Family Therapist | 3569 Sumner Rd, Moultrie, GA 31768-0117 | 2020-10-15 |
| 1376140426 | Moandra Johnson | Marriage & Family Therapist | 2037 Weems Rd Apt 6201, Tucker, GA 30084-5263 | 2020-10-01 |
| 1649887431 | Kristi Brynt Godwin | Marriage & Family Therapist | 4457 Kenilworth Cir, Valdosta, GA 31605-8018 | 2020-09-25 |
| 1073129896 | Lotus Nest Counseling Services LLC | Marriage & Family Therapist | 906 Weathers Dr, Montezuma, GA 31063-1016 | 2020-09-17 |
| 1982217378 | Amy Wagner, LLC | Marriage & Family Therapist | 346 Kramer St, Carrollton, GA 30117-3708 | 2020-08-26 |
| 1114539491 | Sil-miracle Walker | Marriage & Family Therapist | 4210 Columbia Rd Ste 7b, Martinez, GA 30907-0439 | 2020-08-19 |
| 1285242099 | Lyons Center, LLC | Marriage & Family Therapist | 110 Kellwood Dr Ste 200a, Perry, GA 31069-3263 | 2020-07-17 |
| 1073131827 | Ilisten, LLC | Marriage & Family Therapist | 106 Danbury Ct, Pooler, GA 31322-9780 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30022 |
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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.