CHILD & ADOLESCENT RESOURCE EDUCATION SERVICES (NPI# 1215288196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215288196 |
Entity Type | Organization |
Organization Name | CHILD & ADOLESCENT RESOURCE EDUCATION SERVICES |
Other Organization Name | CARES |
Practice Address |
3636 Shrewsbury Ct Snellville GA 30039-4643 |
Practice Telephone | 4045787629 |
Practice Fax Number | 7707832230 |
Mailing Telephone | 4045787629 |
Mailing Fax Number | 7707832230 |
Enumeration Date | 2012-10-02 |
Last Update Date | 2012-10-02 |
Authorized Official Name | MONICA D DOUGLAS DAVIS (OWNER) |
Authorized Official Telephone | 4045787629 |
Authorized Official Credential | LPC, MA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC006209 | GA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003127374A | 05 |
Other Name | Type Code |
---|---|
CARES | Doing Business As Name - Organization |
Street Address |
3636 SHREWSBURY CT |
City | SNELLVILLE |
State | GA |
Zip Code | 30039-4643 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437404803 | Monica Douglas Davis | Counselor | 3636 Shrewsbury Ct, Snellville, GA 30039-4643 | 2012-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710593819 | David Spellings | Physical Therapist | 3991 Us-78, Suite 200, Snellville, GA 30039 | 2020-09-23 |
1245849785 | Tanner Brown | Physical Therapist | 3991 Us-78 Suite 200, Snellville, GA 30039 | 2020-07-30 |
1215571294 | Ora Gylbryne Brown | Behavioral Analyst | 4189 White Road, Snellville, GA 30039 | 2019-11-01 |
1780174953 | Kolawole J Adeyeye | Nursing Care | 4729 Polly Pl, Snellville, GA 30039 | 2018-05-14 |
1255820007 | Bacchus Private Home Care LLC | Home Health | 4925 Bridle Point Parkway, Snellville, GA 30039 | 2018-05-08 |
1508368051 | Sovereign Medical Services, Inc | Community/Behavioral Health | 3806 Wood Hollow Way, Snellville, GA 30039 | 2018-03-01 |
1356865265 | Shanique Griffiths | Counselor | 2580 Broadmoor Ct, Snellville, GA 30039 | 2017-08-01 |
1265952584 | Miracles In Motion Foundation | Case Management | 4276 Burgomeister Place, Snellville, GA 30039 | 2017-06-27 |
1194245704 | Loliya Joy Stewart | Dentist | 3966 Annistown Rd, Snellville, GA 30039 | 2017-06-24 |
1023543014 | Natasha Marie Smith | Nurse's Aide | 2423 Northbrook Rd, Snellville, GA 30039 | 2017-04-27 |
Find all providers in zip 30039 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124660790 | Bapuamoyo Kambeya | Counselor | 2505 Skylars Mill Way, Snellville, GA 30078-5752 | 2019-10-15 |
1356865265 | Shanique Griffiths | Counselor | 2580 Broadmoor Ct, Snellville, GA 30039 | 2017-08-01 |
1902347792 | Rebecca Morgan | Counselor | 2336 Wisteria Dr Ste 440, Snellville, GA 30078-6160 | 2017-03-14 |
1548704810 | Maryetta Finkley | Counselor | 1301 Wiloaks Dr, Snellville, GA 30039-7407 | 2016-12-06 |
1780033910 | Melanie Bentick | Counselor | 1789 Vertex Drive, Snellville, GA 30078 | 2016-06-08 |
1326496902 | Wholehearted Healing Counseling LLC | Counselor | 1350 Scenic Highway S., Suite 266, Snellville, GA 30078 | 2016-05-24 |
1265820716 | Taryn Ellis | Counselor | 1301 Bridgewater Walk, Snellville, GA 30078-2086 | 2015-01-07 |
1083002620 | Michal Angelique Collier | Counselor | 4246 Mountain Glen Trce, Snellville, GA 30039-6475 | 2015-01-06 |
1548668536 | Sanona Williams | Counselor | 2336 Wisteria Dr Ste 330, Snellville, GA 30078-6164 | 2014-12-08 |
1982038337 | Jan J Abbott | Counselor | 4462 Marci St, Snellville, GA 30039-6627 | 2013-08-21 |
Find all providers in SNELLVILLE |
City | SNELLVILLE |
Zip Code | 30039 |
Please comment or provide details below to improve the information on CHILD & ADOLESCENT RESOURCE EDUCATION SERVICES.
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.