MRS. MIRIAM DEL CARMEN GOMEZ (NPI# 1275806382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275806382 |
| Entity Type | Individual |
| Full Name | MRS. MIRIAM DEL CARMEN GOMEZ |
| Credential | LPC |
| Practice Address |
5855 Jimmy Carter Blvd Ste 170 Norcross GA 30071-4610 |
| Mailing Address |
1695 Chase Ridge Ln Lawrenceville GA 30043-4369 |
| Practice Telephone | 4047291768 |
| Mailing Telephone | 4047291768 |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC006499 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346460888 | Miriam Gomez | Family Medicine | 908 S Parsons Ave Ste A, Brandon, FL 33511-6045 | 2007-04-26 |
| 1497878938 | Miriam Gonzalez Gomez | Marriage & Family Therapist | 604 Pearl St, Monterey, CA 93940-3070 | 2007-04-09 |
| Street Address |
5855 JIMMY CARTER BLVD STE 170 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1720558836 | Annie Mcfadden | Counselor | 4652 Sagemont Ct, Norcross, GA 30093-4768 | 2018-12-01 |
| 1669975009 | Jamilah Tetterton | Counselor | 4006 Holcomb Bridge Rd Ste 210, Norcross, GA 30092-1814 | 2018-03-12 |
| 1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| 1295185742 | Kateece Freeman | Counselor | 6082 Tennyson Park Way, Norcross, GA 30092-3378 | 2016-06-15 |
| 1093186231 | Brave Tomorrow Counseling and Consulting | Counselor | 4121 Steve Reynolds Blvd Ste 202, Norcross, GA 30093-3060 | 2015-10-14 |
| 1326451667 | Melissa Brown | Counselor | 6015 Atlantic Blvd, Norcross, GA 30071-1343 | 2014-06-04 |
| 1417230038 | Donna Marie Wade | Counselor | 5696 Peachtree Pkwy, Norcross, GA 30092-2855 | 2011-09-20 |
| 1881928216 | Sutherland Psychotherapy Associates, LLC | Counselor | 4989 Peachtree Pkwy Ste 220, Norcross, GA 30092-2589 | 2009-10-02 |
| Find all providers in NORCROSS | ||||
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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.