SERRA BOONE


Address: 143 Edinborough Dr, Leesburg, GA 31763-4777
Phone: 2298699386

SERRA BOONE (NPI# 1356854897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356854897
Entity Type Individual
Full Name SERRA BOONE
Practice Address 143 Edinborough Dr
Leesburg
GA 31763-4777
Practice Telephone 2298699386
Enumeration Date 2017-11-07
Last Update Date 2017-11-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC009140 GA Behavioral Health & Social Service Providers

Office Location

Street Address 143 EDINBOROUGH DR
City LEESBURG
State GA
Zip Code 31763-4777

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1124370796 Freds Stores of Tennessee Inc Pharmacy 118 Robert B Lee Drive, Leesburg, GA 31763 2012-10-08
1255649273 Lee County Optical LLC Optometrist 1569 Highway 19 South, Leesburg, GA 31763 2010-09-24
1851572473 Shaun Nicholas Price Chiropractor 152 Robert B Lee Dr, # 31, Leesburg, GA 31763 2007-11-26
1710042007 Williams & Bush Partnership Dentist 919 Us Hwy 19 South, Leesburg, GA 31763 2006-12-27
1063570398 Lee County Board of Education Local Education Agency (LEA) 126 Starksville Avenue, North, Leesburg, GA 31763 2006-12-06
1225109929 Lee County School System Local Education Agency (LEA) 126 Starksville Avenue North, Leesburg, GA 31763 2006-11-13
1073682936 Adams' Loving Pro Home Health Care Inc. Home Health 1277 Hwy 82 West, 121, Leesburg, GA 31763 2006-11-07
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043825557 The Resilience Network LLC Counselor 215 Depot Ct Se # 253, Leesburg, VA 20175-3017 2020-09-11
1316562952 Zandra Basley Walker Counselor 183 Hawkstead Dr, Leesburg, GA 31763-5348 2020-06-09
1649891300 Meghan Wilmoth Walker Counselor 15c Loudoun St Sw, Leesburg, VA 20175-2908 2020-05-04
1104451335 Kelly Elizabeth Neverson Counselor 26 Fairfax St Se Ste 202, Leesburg, VA 20175-3638 2020-03-09
1871140343 Deeba Khumar-chadha Counselor 43911 Kittiwake Dr, Leesburg, VA 20176-6885 2019-08-20
1831651264 Michelle Elizabeth Vaughan Counselor 16480 Meadowview Ct, Leesburg, VA 20175-8907 2019-04-04
1962988113 Kendall Mccarthy Counselor 19268 Creek Field Cir, Leesburg, VA 20176-4300 2018-07-11
1508394818 Catherine Theresa Crowe Counselor 43201 Cardston Pl, Leesburg, VA 20176-6460 2017-05-31
1790150423 Jamie Perrella Flynn-pressley Counselor 112 Cris Ann St., Leesburg, GA 31763 2015-12-07
1346665254 Jessie Bohnenkamp Counselor 6 Wirt St Nw Ste 100, Leesburg, VA 20176-2841 2014-02-28
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Competitor

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City LEESBURG
Zip Code 31763

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Dataset Information

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.

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