MARTINA HAIRSTON (NPI# 1275043283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275043283 |
| Entity Type | Individual |
| Full Name | MARTINA HAIRSTON |
| Credential | MA |
| Practice Address |
2636 Mlk Jr Dr Sw Ste 22 Atlanta GA 30311-1635 |
| Mailing Address |
6923 William Rd Austell GA 30168-6205 |
| Practice Telephone | 6787053828 |
| Practice Fax Number | 6787053828 |
| Mailing Telephone | 4707677437 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2636 MLK JR DR SW STE 22 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30311-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074409 | Tandy E Mackey | Marriage & Family Therapist | 2636 Mlk Jr Dr Sw Ste 22, Atlanta, GA 30311-1635 | 2020-08-21 |
| 1841815495 | Stricklin Counseling Solutions | Counselor | 2636 Mlk Jr Dr Sw Ste 22, Atlanta, GA 30311-1635 | 2020-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612694 | Modern Internal Medicine Urgent Care and Primary Care Inc | Clinic/Center | 2457 Martin Luther King Jr, Dr, Sw, Suit A, Atlanta, GA 30311 | 2019-07-27 |
| 1528515053 | Cherese Williams | Counselor | 2636 M L K Jr Dr Sw, Suite 22, Atlanta, GA 30311 | 2016-09-01 |
| 1558754168 | James Edwin Wagner | Licensed Practical Nurse | 377 Peyton Road S W, Atlanta, GA 30311 | 2015-03-07 |
| 1790180131 | Johnny L Johnson | Nutritionist | 3030 Cambelton Rd, Atlanta, GA 30311 | 2014-10-28 |
| 1770718330 | Clayton E. Bell Sr. | Chiropractor | 2905 Campbellton Road, Suite G, Atlanta, GA 30311 | 2009-05-26 |
| 1720243207 | Farida Zohouri | Counselor | 2536 Martin Luther King Jr. Dr. Sw, Atlanta, GA 30311 | 2008-07-23 |
| 1649348962 | Mona Elaine Reynolds | Chiropractor | 3079 Campbellton Road, Suite 205, Atlanta, GA 30311 | 2006-12-04 |
| 1245337211 | Loreen C Doyle-littles | Pediatrics | 1175 Cascade Pkwy, Pediatrics Health Care Team A, Atlanta, GA 30311 | 2006-09-20 |
| 1740383512 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2429 Martin Luther King Jr. Dr., Atlanta, GA 30311 | 2006-09-07 |
| 1407806359 | Booker T Poe | Pediatrics | 2600 Martin Luther King Jr Dr, Ste 202, Atlanta, GA 30311 | 2006-05-11 |
| Find all providers in zip 30311 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010247 | Jeffrey Heath Williamson | Counselor | 3350 Lansbury Village Dr Apt 2, Atlanta, GA 30341-5749 | 2020-10-11 |
| 1548868730 | Dynamic Change | Counselor | 2255 Cumberland Pkwy Se Ste 240, Atlanta, GA 30339-4515 | 2020-10-11 |
| 1447878616 | Githealthy Inc. | Counselor | 3553 Forrest Park Rd Se, Atlanta, GA 30354-3414 | 2020-07-14 |
| 1881212785 | Chardae N Barnes | Counselor | 2470 Cheshire Bridge Rd Ne Apt 1422, Atlanta, GA 30324-4041 | 2020-07-08 |
| 1336769470 | Tavonda Hudson | Counselor | 411 Luckie St Nw Unit 302, Atlanta, GA 30313-2058 | 2020-04-18 |
| 1023647633 | Luciana Sacramento Aguiar | Counselor | 1230 Peachtree St Ne Ste 1904, Atlanta, GA 30309-3574 | 2020-04-06 |
| 1083240782 | Humanicurity Inc. | Counselor | 1048 Flat Shoals Rd Apt 303, Atlanta, GA 30349-7336 | 2020-03-14 |
| 1831730522 | Morgan Clary | Counselor | 2614 Clifton Downs Trl Se, Atlanta, GA 30316-4058 | 2019-10-03 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1447725775 | Lauren Derossette | Counselor | 1850 Cotillion Dr Unit 4308, Atlanta, GA 30338-7904 | 2018-10-13 |
| Find all providers in ATLANTA | ||||
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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.