CORD OF THREE COUNSELING SERVICES, INC. (NPI# 1316230899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316230899 |
| Entity Type | Organization |
| Organization Name | CORD OF THREE COUNSELING SERVICES, INC. |
| Practice Address |
5920 Reese St Patterson GA 31557-5131 |
| Mailing Address |
Po Box 151 Patterson GA 31557-0151 |
| Practice Telephone | 9122820992 |
| Practice Fax Number | 9126470510 |
| Mailing Telephone | 9122820992 |
| Mailing Fax Number | 9126470510 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |
| Authorized Official Name | MR. CLAY D. GILL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9122820992 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 004088 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003104129A | 05 |
| Street Address |
5920 REESE ST |
| City | PATTERSON |
| State | GA |
| Zip Code | 31557-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023173804 | Sara Mcarthur | Clinical Neuropsychologist | 5920 Reese St, Patterson, GA 31557-5131 | 2006-12-22 |
| 1649511544 | Stefany Raye Morgan | Counselor | 5920 Reese St, Patterson, GA 31557-5131 | 2013-03-04 |
| 1720257132 | Clay Dexter Gill | Counselor | 5920 Reese St, Patterson, GA 31557-5131 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891071296 | Phyllis Susan Raulerson | Early Intervention Provider Agency | 5955 Owens Road, Patterson, GA 31557 | 2011-10-30 |
| 1376966317 | Brandy Marie Scott | Pharmacist | 3436 Hopewell Rd, Patterson, GA 31557-2424 | 2014-01-28 |
| 1023135316 | Patterson Pharmacare, Inc. | Durable Medical Equipment & Medical Supplies | 6460 Hwy 84, Patterson, GA 31557-5016 | 2007-03-23 |
| 1679193130 | Boobil, LLC | Pharmacy | 6460 Hwy 84, Patterson, GA 31557-5016 | 2020-04-24 |
| 1053400689 | Bacon Co. Health Services, Inc. | General Acute Care Hospital | 3406 Wildwood Ave., Patterson, GA 31557-5065 | 2006-10-12 |
| 1770956765 | Marrian Daniels | Counselor | 3350 Tyre Bridge Rd, Patterson, GA 31557-5083 | 2015-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1932713104 | Bibin Chacko | Speech-Language Pathologist | 535 Peregrine Dr, Patterson, CA 95363-8703 | 2020-09-03 |
| 1407460017 | Sneha Kommu | Speech-Language Pathologist | 775 N Hartley St, Patterson, CA 95363-2477 | 2020-09-01 |
| 1386257368 | Luis Castillo | Behavior Technician | 1513 Minnie St, Patterson, CA 95363-9456 | 2020-08-28 |
| 1457969511 | Dawn Louise Garcia | Nurse Practitioner | 547 Nicastro Dr, Patterson, CA 95363-9780 | 2020-07-15 |
| 1174146062 | Samantha Donahue | Licensed Practical Nurse | 94 Patterson Village Ct, Patterson, NY 12563-2420 | 2020-05-26 |
| 1518587302 | Cler Vicentina Aquillas | Nurse Practitioner | 1108 Ward Ave Ste 1, Patterson, CA 95363-8529 | 2020-04-21 |
| 1962032318 | Salutem C, LLC | Hospice Care, Community Based | 254 Sperry Ave Ste 6, Patterson, CA 95363-2762 | 2020-01-23 |
| 1609419688 | Brooke Ashley Umfleet | Occupational Therapist | Rr 1 Box 11470, Patterson, MO 63956-8712 | 2019-10-23 |
| 1255988176 | Gwynderlyn Patreac Jenkins | Specialist | 220 N El Circulo Ave, Patterson, CA 95363-2521 | 2019-08-26 |
| Find all providers in PATTERSON | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194858076 | Center for Human Services | Community/Behavioral Health | 700 F St, Patterson, CA 95363-2669 | 2007-03-13 |
| 1558792606 | Center for Human Services | Community/Behavioral Health | 700 F St, Patterson, CA 95363-2669 | 2013-11-27 |
| 1831221969 | Stanislaus County Bhrs | Community/Behavioral Health | 118 N 2nd St, Patterson, CA 95363-2550 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376160 | Love, Breanna Olivia Zion Enterprise,llc(lboz): | Community/Behavioral Health | 9802 N Ivy Park Dr, Fortson, GA 31808-7130 | 2020-11-02 |
| 1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
| 1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
| 1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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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.