MEREDITH LYNN HREBENAK


Address: 3395 Sixes Rd Ste 2202, Canton, GA 30114-9125
Phone: 4702504218

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC010565 GA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1637 Athens Hwy, Grayson, GA 300171768 6783448268 8886276444
4530 S Berkeley Lake Rd, Berkeley Lake, GA 300711660 4702504218

Office Location

Street Address 3395 SIXES RD STE 2202
City CANTON
State GA
Zip Code 30114-9125

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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
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City CANTON
Zip Code 30114

Improve Information

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Dataset Information

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.

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