MEREDITH LYNN HREBENAK (NPI# 1235586504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235586504 |
Entity Type | Individual |
Full Name | MEREDITH LYNN HREBENAK |
Credential | LPC |
Practice Address |
3395 Sixes Rd Ste 2202 Canton GA 30114-9125 |
Practice Telephone | 4702504218 |
Mailing Telephone | 4702504218 |
Enumeration Date | 2016-05-17 |
Last Update Date | 2019-11-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC010565 | GA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1637 Athens Hwy, Grayson, GA 300171768 | 6783448268 | 8886276444 |
4530 S Berkeley Lake Rd, Berkeley Lake, GA 300711660 | 4702504218 |
Street Address |
3395 SIXES RD STE 2202 |
City | CANTON |
State | GA |
Zip Code | 30114-9125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
Find all providers in zip 30114 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1861009268 | Alliance of Hope Counseling Services LLC | Counselor | 1358 Stacy Dr, Canton, MI 48188-1438 | 2020-09-29 |
1902418270 | Sharon S Byler Counseling, LLC | Counselor | 1511 3rd St Se, Canton, OH 44707-3246 | 2020-08-18 |
1083234876 | Robin L Skora Lpc, LLC | Counselor | 1948 Hendrie, Canton, MI 48187-4686 | 2020-04-21 |
1710537170 | Godfrey Ndubuisi Aguwa | Counselor | 46779 Creeks Bnd, Canton, MI 48188-2384 | 2019-09-18 |
1184288417 | Barbara Lee Parry | Counselor | 251 Vz County Road 2408, Canton, TX 75103-4068 | 2019-04-22 |
1649744947 | Evelynmarie Sabrinah Dorce | Counselor | 840 Commerce Trl, Canton, GA 30114-7572 | 2019-01-20 |
1679088413 | Taylor Clay | Counselor | 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 | 2017-12-01 |
1508379934 | Marsha R Mudrey | Counselor | 2205 Riverstone Boulevard, Suite 273, Canton, GA 30114-5250 | 2017-11-07 |
1740728906 | Meadow Winds Counseling Services | Counselor | 195 Trenton Ln, Canton, GA 30115-8194 | 2017-02-08 |
1043764459 | Denna Mary Gilot | Counselor | 3206 Windsor Woods Ln, Canton, MA 02021-3469 | 2016-08-15 |
Find all providers in CANTON |
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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.