ELEANOR BROWN WILLIAMS (NPI# 1225432792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225432792 |
| Entity Type | Organization |
| Organization Name | ELEANOR BROWN WILLIAMS |
| Practice Address |
864 Clark Dr Ellenwood GA 30294-2654 |
| Practice Telephone | 6787725834 |
| Mailing Telephone | 6787725834 |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |
| Authorized Official Name | MRS. ELEANOR BROWN WILLIAMS (THERAPIST) |
| Authorized Official Telephone | 6787725834 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LPC003061 | GA | Agencies |
| Street Address |
864 CLARK DR |
| City | ELLENWOOD |
| State | GA |
| Zip Code | 30294-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124323 | Lula Varist Gholson | Counselor | Christian Counselor Ma Lou Gholson, 549 Lamar Drive, Forest Park, GA 30294 | 2019-10-04 |
| 1609428176 | Tykechia Todd | Ambulance | 3644 Caseys Cove, Ellenwood, GA 30294 | 2019-07-15 |
| 1891285243 | Ayana Aqila Thornton | Nurse Practitioner | 5654 Hosea Court, Ellenwood, GA 30294 | 2018-05-11 |
| 1346748837 | Kakethia S. Mack | Nurse Practitioner | 4124 Bosenberry Way, Ellenwood, GA 30294 | 2018-01-30 |
| 1851819312 | Tatiana Marcus | Prosthetist | 3895 Busby Mill Ct., Ellenwood, GA 30294 | 2017-09-05 |
| 1962944991 | Fairview Urgent Care, LLC | Clinic/Center | 4475 West Village Pkwy, Ellenwood, GA 30294 | 2016-11-08 |
| 1982006169 | Kristal Cure | Licensed Practical Nurse | 4057 Madiosn Court, Ellenwood, GA 30294 | 2014-09-19 |
| 1801233515 | 1st Class Learning and Performing Arts | Local Education Agency (LEA) | 5474 Platte Dr, Ellenwood, GA 30294 | 2013-06-04 |
| 1235480138 | Life Wellness Group of Atlanta | Home Delivered Meals | 145 Wilhemina Drive, Ellenwood, GA 30294 | 2012-10-02 |
| 1346548450 | William K Holley IIi | Counselor | 2732 Holly Berry Dr, Ellenwood, GA 30294 | 2011-03-14 |
| Find all providers in zip 30294 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972803310 | K's House | Community/Behavioral Health | 5556 Shoshone Pass, Ellenwood, GA 30294-6677 | 2010-11-02 |
| 1144539149 | New Horizon Group Homes Inc | Community/Behavioral Health | 1999 Smithfield Ave, Ellenwood, GA 30294-1638 | 2010-09-25 |
| 1033424171 | Southern Group Homes, LLC | Community/Behavioral Health | 5450 Platte Dr, Ellenwood, GA 30294-6667 | 2010-08-13 |
| 1679888713 | Integra Group Homes, LLC | Community/Behavioral Health | 5566 Platte Dr, Ellenwood, GA 30294-6656 | 2010-08-13 |
| 1942515085 | Total Care Group Homes, LLC | Community/Behavioral Health | 5570 Platte Dr, Ellenwood, GA 30294-6656 | 2010-08-13 |
| 1003145574 | A Better You, LLC | Community/Behavioral Health | 416 Midway Pt, Ellenwood, GA 30294-2980 | 2009-12-13 |
| 1154658656 | Global Counseling & Consulting Services | Community/Behavioral Health | 5863 Sunflower Ct, Ellenwood, GA 30294-3890 | 2009-11-04 |
| 1477747244 | Divinity Sentiments Inc | Community/Behavioral Health | 4328 Clevemont Rd, Ellenwood, GA 30294-1329 | 2007-09-05 |
| 1467645044 | Harvestlodge Homes and Services for Children and Families | Community/Behavioral Health | 4187 Connor Dr., Ellenwood, GA 30294 | 2007-08-27 |
| 1063603413 | Abba House Human Development and Resources Center of Ga, Inc. | Community/Behavioral Health | 110 Tasha Cir, Ellenwood, GA 30294-3046 | 2007-08-09 |
| Find all providers in ELLENWOOD | ||||
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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.