NICKESHA MELISA DOUGLAS (NPI# 1285246009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285246009 |
| Entity Type | Individual |
| Full Name | NICKESHA MELISA DOUGLAS |
| Credential | MS |
| Practice Address |
1976 Flat Shoals Rd Se Ste A Atlanta GA 30316-2857 |
| Mailing Address |
2121 Windy Hill Rd Apt 712 Marietta GA 30060-6451 |
| Practice Telephone | 6788560471 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1976 FLAT SHOALS RD SE STE A |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| Find all providers in zip 30316 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495411 | Bianca Tiara Abrams | Counselor | 916 Glenwood Park Dr Se, Atlanta, GA 30316-6845 | 2020-10-23 |
| 1780283713 | Stacey Dougan | Counselor | 696 Mountain Dr Ne, Atlanta, GA 30342-3904 | 2020-10-21 |
| 1851998744 | Amanda Hock | Counselor | 3565 Piedmont Rd Ne Ste 510, Atlanta, GA 30305-8202 | 2020-10-05 |
| 1023625985 | Nathlie Dowdell | Counselor | 1939 Sylvan Rd Sw, Atlanta, GA 30310-5019 | 2020-09-24 |
| 1598371304 | Nissa Christina White | Counselor | 3520 Piedmont Rd Ne Ste 300, Atlanta, GA 30305-1512 | 2020-09-17 |
| 1194339689 | Harry Scott Gordon | Counselor | 3342 Rose Rdg, Atlanta, GA 30340-4074 | 2020-09-02 |
| 1023621869 | Naquia Scott | Counselor | 3330 Cumberland Blvd Se # 3330, Atlanta, GA 30339-5995 | 2020-08-30 |
| 1023621653 | Lindsey Hutchins | Counselor | 55 Mcdonough Blvd Se, Atlanta, GA 30315-2316 | 2020-08-24 |
| 1407467434 | Life Changes Counseling and Consultant Services, LLC | Counselor | 1003 Virginia Ave Ste 104, Atlanta, GA 30354-1366 | 2020-08-13 |
| 1083225346 | Daniel Dosal - Terminel | Counselor | 1030 Fayetteville Rd Se # Sev, Atlanta, GA 30316-2921 | 2020-08-11 |
| 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.