DOROTHY A. FONDI


Address: 853 Battlecreek Rd, Jonesboro, GA 30236-1919
Phone: 7704732620

DOROTHY A. FONDI (NPI# 1255873709) 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) 1255873709
Entity Type Individual
Full Name DOROTHY A. FONDI
Other Name DOROTHY A. FORTUCHANG
Credential MS, LPC, CPCS, MAC
Practice Address 853 Battlecreek Rd
Jonesboro
GA 30236-1919
Mailing Address 157 Smith St
Jonesboro
GA 30236-3546
Practice Telephone 7704732620
Practice Fax Number 7704788722
Mailing Telephone 7704732418
Mailing Fax Number 7704739772
Enumeration Date 2016-11-15
Last Update Date 2019-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
508802 GA Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
LPC007651 GA Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
LPC007651 GA Behavioral Health & Social Service Providers

Office Location

Street Address 853 BATTLECREEK RD
City JONESBORO
State GA
Zip Code 30236-1919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649257791 Clayton Community Mental Health Substance Ab Clinic/Center 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2005-12-29
1396303731 Raphel Rice Clinic/Center 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2019-05-31
1518428747 Terri Anderson Williams Registered Nurse 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2019-03-29
1457810095 Shawn Maria Coleman Counselor 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2019-03-13
1851880926 Jenise Trannell Clark Counselor 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2018-05-04
1801348131 Nicole Heather Dawn Holmes Counselor 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2016-11-03
1871045187 Caryn Haire Counselor 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2016-11-03
1700338472 Joy Boyce Counselor 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2016-10-28
1194276071 Stacey Nicole Paxton Counselor 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2016-10-17
1922464635 Angela Robinson Counselor 853 Battlecreek Rd, Jonesboro, GA 30236-1919 2016-01-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972123362 Life Source Counseling & Consulting, LLC Clinic/Center 118 North Avenue, Suite A, Jonesboro, GA 30236 2020-04-25
1639609555 New Beginnings Behavioral Counseling,llc Social Worker 9456 S Main St Ste E2, Jonesboro, GA 30236 2017-06-13
1437696762 Clarissa Alexandra Poole Counselor 2106 Fair Ridge Ct, Jonesboro, GA 30236 2017-01-25
1588012892 Sundance Healthcare Service Inc In Home Supportive Care 7861 Collinswood Court, Jonesboro, GA 30236 2016-05-26
1942669205 Adrianne Smiley Gurley Occupational Therapist 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 2016-02-15
1336505809 Integrated Health Center Dentist 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 2016-01-13
1467827402 Surrell Porter Nurse Practitioner 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 2015-12-02
1740688910 Jacqueline Carolyn Edwards Registered Nurse 8081 Tara Blvd, 265, Jonesboro, GA 30236 2014-12-19
1770991861 Lower Extremity Diagnostics, LLC Podiatrist 6911 Tara Boulevard, Jonesboro, GA 30236 2014-08-01
1760899710 Fresenius Medical Care Jonesboro, LLC Clinic/Center 8060 Summitt Business Parkway, Jonesboro, GA 30236 2014-07-22
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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
1184239360 Haronepthia C Cameron Counselor 102 Lundy Ln, Jonesboro, GA 30238-2132 2020-09-14
1356993356 New Behavioral Services LLC Counselor 216 N Mcdonough St, Jonesboro, GA 30236-3608 2019-07-10
1386107563 Lashanda Robertson Counselor 124 S Main St Ste 2n, Jonesboro, GA 30236-3502 2019-04-13
1467987230 Sharon Temple Counselor 10519 Cedar Knob, Jonesboro, GA 30238-8834 2017-04-28
1497207450 Felita Bush Counselor 124 S Main St Ste 2g, Jonesboro, GA 30236-3502 2016-10-25
1164977583 Dealva Kernodle Counselor 935 County Road 348, Jonesboro, AR 72401-0418 2016-08-16
1013372879 Cassandra Walker Counselor 2617 Dancing Waters Dr, Jonesboro, GA 30236-4051 2015-12-22
1932512621 Project Real Life Youth Occupational Training Corps, Inc. Counselor 6805 Tara Blvd, Jonesboro, GA 30236-1501 2014-06-10
1518384106 Visions of Life Behavioral Health Services, Incorporated Counselor 754 Chapman Street, Jonesboro, GA 30238 2014-03-21
1922443993 Ruth Wheller Counselor 1000 S Caraway Rd Ste 103, Jonesboro, AR 72401-4465 2013-05-06
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Competitor

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City JONESBORO
Zip Code 30236

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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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