CLARKESVILLE COUNSELING & MEDIATION SERVICES, INC (NPI# 1326188855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326188855 |
| Entity Type | Organization |
| Organization Name | CLARKESVILLE COUNSELING & MEDIATION SERVICES, INC |
| Practice Address |
695 Washington St Clarkesville GA 30523 |
| Mailing Address |
Po Box 964 Clarkesville GA 30523-0017 |
| Practice Telephone | 7067681420 |
| Mailing Telephone | 7067681420 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUSAN PATTON (PRESIDENT) |
| Authorized Official Telephone | 7067681420 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC1459 | GA | Behavioral Health & Social Service Providers |
| Street Address |
695 WASHINGTON ST |
| City | CLARKESVILLE |
| State | GA |
| Zip Code | 30523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1619299799 | Leonard Fishman | Specialist | 500 Blue Creek Rd, Clarkesville, GA 30523 | 2010-02-17 |
| 1710134051 | Cheston Berrong Kimsey, Jr | Dentist | 364 Jefferson St, Clarkesville, GA 30523 | 2008-08-19 |
| 1558535302 | Dr David S Greene | Optometrist | 337 Madison St, Clarksville, GA 30523 | 2008-04-14 |
| 1124160049 | Colleen M. Colegrove | Pharmacist | 199 East Louise St, Clarkesville, GA 30523 | 2007-02-14 |
| 1437290541 | Hope Lucinda Senador | Social Worker | 1423 Washington Street, Suite 210, Clarkesville, GA 30523 | 2007-02-09 |
| 1013057546 | Centerpoint Counseling Services | Social Worker | 1423 Washington St, Ste 202, Clarkesville, GA 30523 | 2007-02-07 |
| 1588722276 | Regina Ann Boling | Dentist | 5332 Hwy 115, Suite A, Clarkesville, GA 30523 | 2006-12-05 |
| 1881761450 | Cummings Physical Therapy Services, LLC | Specialist | 1179 Ben Jones Road, Clarkesville, GA 30523 | 2006-11-29 |
| 1255403796 | Susan Patton | Counselor | 695 Washington St., Clarkesville, GA 30523 | 2006-11-13 |
| Find all providers in zip 30523 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1780982249 | O Anita Brackett | Counselor | 1419 Washington St Ste 212, Clarkesville, GA 30523-5430 | 2011-03-08 |
| 1083742530 | Heather Rogers Mackel | Counselor | 1423 Washington St Ste 217, Clarkesville, GA 30523-5430 | 2007-02-28 |
| 1598916686 | In Touch Counseling, LLC | Counselor | 562 Washington St, Clarkesville, GA 30523-6011 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1780284513 | Hogue Counseling and Consulting Services, LLC | Counselor | 7861 Waterlace Dr, Fairburn, GA 30213-4648 | 2020-10-30 |
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| 1003415498 | Danielle Monique' Emina | Counselor | 3338 Lindale Ct, Ellenwood, GA 30294-1313 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | CLARKESVILLE |
| Zip Code | 30523 |
Please comment or provide details below to improve the information on CLARKESVILLE COUNSELING & MEDIATION SERVICES, INC.
| 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.