SHEILA RENEE CAVERLY-GILLETT (NPI# 1215470976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215470976 |
Entity Type | Individual |
Full Name | SHEILA RENEE CAVERLY-GILLETT |
Credential | LPC |
Practice Address |
406 Ridley Ave Lagrange GA 30240-2232 |
Mailing Address |
279 Sawgrass Manor Dr Newnan GA 30265-1960 |
Practice Telephone | 6788504261 |
Practice Fax Number | 7067805402 |
Mailing Telephone | 6788504261 |
Mailing Fax Number | 7067805402 |
Enumeration Date | 2016-11-29 |
Last Update Date | 2020-03-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC008981 | GA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003184341A | 05 | |
GA | 003184341B | 05 |
Street Address |
406 RIDLEY AVE |
City | LAGRANGE |
State | GA |
Zip Code | 30240-2232 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780658518 | Rodolfo Celis | Radiology | 406 Ridley Ave, Lagrange, GA 30240-2232 | 2006-02-16 |
1629601125 | Renee Caverly-gillett Counseling Services, LLC | Counselor | 406 Ridley Ave, Lagrange, GA 30240-2232 | 2020-02-13 |
1770116121 | Sharolette Counseling Services, LLC | Counselor | 406 Ridley Ave, Lagrange, GA 30240-2232 | 2020-02-13 |
1336423953 | Sharlotte Yvette Rogers | Counselor | 406 Ridley Ave, Lagrange, GA 30240-2232 | 2011-09-30 |
1396711677 | Radiology Associates of Elberton, L.L.C. | Radiology | 406 Ridley Ave, Lagrange, GA 30240-2232 | 2006-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
Find all providers in zip 30240 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609499706 | Vibe Healing Center, LLC | Counselor | 137b Commerce Ave # 188, Lagrange, GA 30241-2337 | 2020-05-22 |
1871116459 | Samantha Thomaston | Counselor | 111 Holleys Grove Dr, Lagrange, GA 30240-7761 | 2020-05-18 |
1750834024 | Lashannon Patrice Epps | Counselor | 1111 Mooty Bridge Rd Ste A, Lagrange, GA 30240-1742 | 2016-08-03 |
1659784833 | Valerie Kuecker Cleveland | Counselor | 122 Gordon Commercial Dr Ste D, Lagrange, GA 30240-5754 | 2014-06-05 |
1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
1356638639 | Deborah Jenkins | Counselor | 62 Tyler St, Lagrange, GA 30240-8837 | 2011-07-07 |
1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
1609036524 | Jimmy Dawson Mccamey Jr. | Counselor | 419 Ridley Ave, Lagrange, GA 30240-2231 | 2008-06-13 |
1952498644 | Kenneth Sheppard Hoats | Counselor | 1507 Vernon Rd, Lagrange, GA 30240-4146 | 2006-10-06 |
1700401536 | Angela Montondo | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2020-06-08 |
Find all providers in LAGRANGE |
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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.