MRS. KELLEY DODSON (NPI# 1336528520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336528520 |
| Entity Type | Individual |
| Full Name | MRS. KELLEY DODSON |
| Other Name | MS. KELLEY AUNGST |
| Credential | LPC |
| Practice Address |
4330 S Lee St Bldg 600-a Buford GA 30518 |
| Mailing Address |
4330 S Lee St Bldg 600-a Buford GA 30518-3072 |
| Practice Telephone | 7706482500 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC009024 | GA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
APC003922 | GA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC009024 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003209993A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 E Trinity Pl, Decatur, GA 300303302 | 4043782300 | |
| 4330 S Lee St Bldg 600-a, Buford, GA 30518 | 7706482500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679040836 | Kelley Anne Dodson | Behavioral Analyst | 7161 W Potomac Dr, Boise, ID 83704-9148 | 2018-10-25 |
| 1386670248 | Kelley Melissa Dodson | Otolaryngology | 1201 E Marshall St, Suite 401, Richmond, VA 23219-2050 | 2006-06-23 |
| Street Address |
4330 S LEE ST BLDG 600-A |
| City | BUFORD |
| State | GA |
| Zip Code | 30518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809090 | Lori G Fiore | Pharmacist | 6001 Highway 20, Sugar Hill, GA 30518 | 2020-10-20 |
| 1295374684 | Wickshire Buford Opco LLC | Assisted Living Facility | 4355 South Lee Street, Buford, GA 30518 | 2020-01-02 |
| 1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
| 1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
| 1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
| 1629581228 | Taylor Family Counseling | Social Worker | 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 | 2017-11-06 |
| 1417476292 | North Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 860 Creekview Bluff Way, Buford, GA 30518 | 2017-09-13 |
| 1639693278 | Tara Banks Feddern | Occupational Therapist | 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 | 2017-07-26 |
| 1114457223 | Jeremy Likens | Specialist/Technologist, Other | 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 | 2017-06-13 |
| 1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
| Find all providers in zip 30518 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457861460 | Daniel James Richart | Counselor | 4600 Nelson Brogdon Blvd, Buford, GA 30518-3479 | 2017-10-04 |
| 1346691797 | Joanne Kinney | Counselor | 3276 Buford Dr Ste 104-176, Buford, GA 30519-5702 | 2016-06-27 |
| 1619331881 | Michele Ruiz | Counselor | 4241 Haywater Cv, Buford, GA 30519-7178 | 2016-04-13 |
| 1497120778 | Lorraine Wrage | Counselor | 1400 Buford Hwy Ste D1, Buford, GA 30518-8722 | 2015-12-11 |
| 1871985820 | Margie Gill | Counselor | 1400 Buford Hwy Ste R4, Buford, GA 30518-8777 | 2015-02-28 |
| 1881009819 | Julie Ann Trujillo | Counselor | 359 Peevy St Ste A, Buford, GA 30518-3227 | 2014-06-28 |
| 1548533144 | Thomas Louis Mcclain II | Counselor | 1478 Autumn Wood Trl, Buford, GA 30518-8629 | 2012-02-14 |
| 1841579604 | Harry Thompson | Counselor | 278 W Main St Ste 2, Buford, GA 30518-3039 | 2011-08-11 |
| 1982730164 | Rebecca Muyres | Counselor | 4330 S Lee St Ste 600-a, Buford, GA 30518-3072 | 2007-02-24 |
| 1841330867 | Lloyd Alan Looney | Counselor | 2160 Morningside Dr, Suite 125, Buford, GA 30518-3391 | 2007-02-07 |
| Find all providers in BUFORD | ||||
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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.