MIND FAMILY & SOCIAL SERVICES, INC (NPI# 1215597182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215597182 |
| Entity Type | Organization |
| Organization Name | MIND FAMILY & SOCIAL SERVICES, INC |
| Practice Address |
153 Lee Byrd Rd # 3 Loganville GA 30052-2310 |
| Mailing Address |
1123 Baltic Ct # 3 Loganville GA 30052-6762 |
| Practice Telephone | 7088977449 |
| Mailing Telephone | 6785875918 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | DR. CHERYL LOCKETT (CEO) |
| Authorized Official Telephone | 6785875918 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| MIND Family & Social Services,Inc | Doing Business As Name - Organization |
| Street Address |
153 LEE BYRD RD # 3 |
| City | LOGANVILLE |
| State | GA |
| Zip Code | 30052-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482397 | A Better Life Together, Inc | Day Training, Developmentally Disabled Services | 3343 Woodshade Drive, Loganville, GA 30052 | 2020-09-18 |
| 1184285025 | Felicia Maria Anderson | Counselor | 272 Fox Run, Loganville, GA 30052 | 2019-06-21 |
| 1225502768 | Jackie Kabahuma Zziwa | Registered Nurse | 4072 Atlanta High Way, Loganville, GA 30052 | 2019-01-17 |
| 1598243024 | Afolasade A Adeyemo | In Home Supportive Care | 154 Towler Shoals Dr, Loganville, GA 30052 | 2018-08-06 |
| 1831688654 | Julia Smith | Physician Assistant | 2745 Loganville Hwy, Loganville, GA 30052 | 2018-05-07 |
| 1306335534 | Emily Jannine Jamshedi | Physician Assistant | 3461 Skyland Ridge Ct, Loganville, GA 30052 | 2018-05-03 |
| 1346738655 | Laura Martha Avila | Nurse Practitioner | 221 The Esplanade Way Se, Loganville, GA 30052 | 2018-04-23 |
| 1942738901 | Local Dental Partners, LLC | Clinic/Center | 4353 Atlanta Highway Suite. 300, Loganville, GA 30052 | 2017-06-02 |
| 1649702804 | Cynthia Reeves | Counselor | 4160 Logan Drive, Loganville, GA 30052 | 2017-03-28 |
| 1689049330 | Samuel S Kwon - Loganville Dmd PC | Dentist | 2101 Baker Carter Drive, Suite 200, Loganville, GA 30052 | 2015-12-07 |
| Find all providers in zip 30052 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692595 | Karol Short | Psychologist | 101 Sable Chase Blvd, Mcdonough, GA 30253-3456 | 2020-06-05 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1265092654 | Calvary Healthcare, Inc | Psychologist | 256 Van Dell Dr, Rock Spring, GA 30739-2640 | 2019-06-18 |
| 1790206555 | Lauren Elizabeth Bigham | Psychologist | 997 Saint Sebastian Way # Eg202110, Augusta, GA 30912-2613 | 2017-07-03 |
| 1154729333 | Katie C Daniels | Psychologist | 1119 Old River Rd, Darien, GA 31305 | 2014-12-19 |
| 1093070773 | Family First Medical Center LLC | Psychologist | 1203 Cleveland Ave Ste 1, East Point, GA 30344-3417 | 2012-07-09 |
| 1811160740 | Jacqueline Johnson | Psychologist | 2107 Gardenwood Ct, Atlanta, GA 30349 | 2008-04-11 |
| 1841310497 | Walter Gregory Cox | Psychologist | 2923 Player St, Brunswick, GA 31520-4950 | 2007-03-29 |
| 1699882068 | Thomas H. White | Psychologist | 451 Ee Butler Pkwy, Gainesville, GA 30501-4524 | 2006-08-23 |
| 1124353339 | Pro- Holism Professional Corporation | Psychologist | 2480 Windy Hill Rd Se, Suite 206, Marietta, GA 30067-8644 | 2009-10-06 |
| Find all providers with the same taxonomy | ||||
| City | LOGANVILLE |
| Zip Code | 30052 |
Please comment or provide details below to improve the information on MIND FAMILY & SOCIAL SERVICES, INC.
| 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.