SHANELLE THOMASINA SMITH (NPI# 1215572912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215572912 |
| Entity Type | Individual |
| Full Name | SHANELLE THOMASINA SMITH |
| Credential | LAPC |
| Practice Address |
1017 Fayetteville Rd Se Atlanta GA 30316-2932 |
| Mailing Address |
1157 Booker Ave Sw Atlanta GA 30310-3605 |
| Practice Telephone | 7702386052 |
| Mailing Telephone | 7702386052 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
APC006694 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1157 Booker Ave Sw, Atlanta, GA 303103605 | 7702386052 |
| Street Address |
1017 FAYETTEVILLE RD SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184945420 | Hasani K Baharanyi | Psychiatry & Neurology | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2010-06-22 |
| 1417572546 | Rayshonna Durham | Social Worker | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-06-15 |
| 1528693108 | Bertrand Brown | Social Worker | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-03-04 |
| 1629603295 | Samantha Marie Martinez | Social Worker | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-03-04 |
| 1467084020 | Lindsay Michelle Mitchiner | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-02-11 |
| 1013547660 | Alexis Flen | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-01-23 |
| 1316582034 | Davril Miranni Huggins-looby | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-11-18 |
| 1528618881 | Akosua Frampton | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-09-18 |
| 1619520343 | Erica Paschel | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-07-22 |
| 1487216636 | Alexandra Rose Gellin | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| Find all providers in zip 30316 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1356940712 | Shoshana Dayanim Agichtein | Counselor | 1380 Jody Ln Ne, Atlanta, GA 30329-3522 | 2020-10-18 |
| 1285231951 | Mecall Pearson | Counselor | 1350 Spring St Nw Ste 225, Atlanta, GA 30309-2866 | 2020-10-06 |
| 1447862172 | Dr. Burwell Speaks, LLC | Counselor | 3495 Buckhead Loop Ne Ste 1112, Atlanta, GA 30326-1528 | 2020-08-24 |
| 1386254761 | Jocelyn Patterson Mosley | Counselor | 2030 Gramercy Cir, Atlanta, GA 30341-1779 | 2020-07-31 |
| 1205444718 | Vanessa Lorraine Elizabeth Johnson | Counselor | 1388 Gates Cir Se, Atlanta, GA 30316-4092 | 2020-07-21 |
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1376161760 | Lisa J Strube | Counselor | 49 Lenox Pointe Ne Ste C, Atlanta, GA 30324-7426 | 2020-07-11 |
| 1881210201 | Destiny Winters | Counselor | 900 Dekalb Ave Ne Ste K, Atlanta, GA 30307-2501 | 2020-06-22 |
| 1912522582 | Dorian Ellis | Counselor | 5470 Lemoyne Dr Sw, Atlanta, GA 30331-9206 | 2020-06-10 |
| Find all providers in ATLANTA | ||||
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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.