SHIRLEY R. KOORS (NPI# 1205964863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205964863 |
| Entity Type | Individual |
| Full Name | SHIRLEY R. KOORS |
| Other Name | SHIRLEY GEVEDON |
| Credential | MMFT, LPC-MHSP |
| Practice Address |
942 County Road 609 Athens TN 37303 |
| Mailing Address |
942 County Road 609 Athens TN 37303-6365 |
| Practice Telephone | 9317978461 |
| Mailing Telephone | 9317978461 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2742 | TN | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1525402 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1605 Jennifer Dr, Columbia, TN 384015431 | 9317978461 | 8779040972 |
| Street Address |
942 COUNTY ROAD 609 |
| City | ATHENS |
| State | TN |
| Zip Code | 37303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251187 | Kara Archer | Counselor | 224 Columbus Rd # 724, Athens, OH 45701-1334 | 2020-10-06 |
| 1235696766 | Lotus Counseling Services of Athens, LLC | Counselor | 545 Research Dr Ste B, Athens, GA 30605-2745 | 2019-02-20 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1306344148 | Patsy Marie Jackson | Counselor | 847 Highway 154, Athens, LA 71003-3103 | 2018-01-26 |
| 1497297816 | Hannah Hall | Counselor | 367 Prince Ave Ste G, Athens, GA 30601-2471 | 2016-11-16 |
| 1477919199 | Bethany L. Fulton | Counselor | 530 W Union St Ste D, Athens, OH 45701-8303 | 2016-01-11 |
| 1568827616 | Wounded Healers Energy Center, LLC | Counselor | 187 E State St Ste C, Athens, OH 45701-1764 | 2015-12-16 |
| 1356715171 | Brandon Humphries | Counselor | 704 W Madison Ave, Athens, TN 37303-3428 | 2015-11-17 |
| 1245604164 | Jolie Daigle | Counselor | 232 Hidden Spring Way, Athens, GA 30605-5745 | 2015-11-16 |
| 1649664046 | Teresa Jan Thompson | Counselor | 2371 Green Gate Rd, Athens, TX 75752-5168 | 2015-03-24 |
| Find all providers in ATHENS | ||||
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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.