DR. BERTRINA OLIVIA WEST


Address: 10475 Medlock Bridge Rd Ste 205, Duluth, GA 30097-4446
Phone: 6783793781

DR. BERTRINA OLIVIA WEST (NPI# 1265993927) 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) 1265993927
Entity Type Individual
Full Name DR. BERTRINA OLIVIA WEST
Other Name DR. OLIVIA AL-MAHDI
Practice Address 10475 Medlock Bridge Rd Ste 205
Duluth
GA 30097-4446
Mailing Address 3005 Jester Ct
Duluth
GA 30096-3862
Practice Telephone 6783793781
Mailing Telephone 6023305032
Enumeration Date 2019-03-26
Last Update Date 2019-06-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
GA Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
GA Behavioral Health & Social Service Providers

Office Location

Street Address 10475 MEDLOCK BRIDGE RD STE 205
City DULUTH
State GA
Zip Code 30097-4446

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659934255 Black Ladies International, Inc. Counselor 10475 Medlock Bridge Rd Ste 205, Duluth, GA 30097-4446 2019-04-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659986057 Herman Medical Solutions, LLC Internal Medicine 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 2020-09-11
1649808619 Kirsty Amber Ramirez Behavior Technician 218 Premiere Pkwy #500, Duluth, GA 30097 2020-03-27
1386277820 Cristina Madalina Niculas Pharmacist Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 2020-02-12
1619514924 Opesdei Health Solutions Home Health Aide 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 2019-12-05
1700422979 Ria Alexander Nurse Practitioner 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 2019-11-22
1043867765 Mosesal Zakia White Nurse Practitioner 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 2019-08-19
1982187068 Lighthouse Clinical Counseling, LLC Counselor 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 2018-09-13
1376025643 Faithe Beanne Kimsey Counselor 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 2018-09-04
1306330303 Denise Jackson Prosthetist 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 2018-06-21
1407363328 Berkeley Van Dyke Physical Therapist 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 2017-12-30
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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
1730796608 Shakeia Brodie Counselor 6290 Abbotts Bridge Rd Ste 304, Duluth, GA 30097-1750 2020-09-25
1891324588 The Lighthouse Behavior Health Center LLC Counselor 4099 Buckingham Pl, Duluth, GA 30096-4271 2020-04-03
1861031940 Elizabeth Ashley Edouard Counselor 3464 Duluth Hwy 120, Duluth, GA 30096 2020-01-06
1194368860 Anine Patrice Jensen Counselor 101 W 2nd St Ste 101, Duluth, MN 55802-5021 2019-10-24
1043875164 Individual Services Counselor 114 W Superior St, Duluth, MN 55802-3000 2019-05-03
1285107029 Tanya Zeiliger Counselor 2601 Cannon Farm Ln, Duluth, GA 30097-4317 2019-01-04
1982187068 Lighthouse Clinical Counseling, LLC Counselor 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 2018-09-13
1376025643 Faithe Beanne Kimsey Counselor 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 2018-09-04
1720572886 Jennifer Dreibelbis Hama Counselor 3460 Summit Ridge Pkwy Ste 503, Duluth, GA 30096-1621 2018-06-21
1134664311 Amp Group, LLC Counselor 331 West Superior Street, Duluth, MN 55802 2016-12-27
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Competitor

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City DULUTH
Zip Code 30097

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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