SOUTHEAST PERINATAL COUNSELING LLC (NPI# 1376150870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376150870 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST PERINATAL COUNSELING LLC |
| Practice Address |
1450 Newnan Crossing Blvd E Apt 4213 Newnan GA 30265-0010 |
| Mailing Address |
388 Bullsboro Dr # 301 Newnan GA 30263-1069 |
| Practice Telephone | 6784049886 |
| Mailing Telephone | 6784049886 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | CRYSTAL WILSON (THERAPIST) |
| Authorized Official Telephone | 6784049886 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
1450 NEWNAN CROSSING BLVD E APT 4213 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-0010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092494 | Mind & Energy Psychiatry, LLC | Social Worker | 37 Calumet Pkwy Bldg F Ste 201, Newnan, GA 30263-6734 | 2020-01-07 |
| 1598237885 | Crystal Marie Wilson | Social Worker | 22c E Newnan Rd, Newnan, GA 30263-2230 | 2018-12-26 |
| 1811421522 | Heather Christianne Sjogren | Social Worker | 2 1/2 E Court Sq, Suite 6, Newnan, GA 30263-2035 | 2017-04-19 |
| 1518354885 | Tori Smith | Social Worker | 138 Greison Trl Apt 8308, Newnan, GA 30263-1756 | 2015-04-23 |
| 1336497791 | Aisha Resha Mitchell Washington | Social Worker | 19 Greencove Ct, Newnan, GA 30265-3391 | 2012-08-16 |
| 1760763791 | Yvette Morelon | Social Worker | 22 Arran Ct, Newnan, GA 30263-5474 | 2011-09-03 |
| 1336315340 | Kevin Douglas King | Social Worker | 18 Scenic Hills Dr, Newnan, GA 30265-2796 | 2008-04-30 |
| 1073786976 | Frontline Ministries | Social Worker | 2594 Highway 34 East, Suite B, Newnan, GA 30265 | 2008-04-11 |
| 1619032596 | Lynn B Beck | Social Worker | 15 Lagrange St, Suite C&d, Newnan, GA 30263-2607 | 2006-12-22 |
| 1801950092 | Dorothy F Cohen | Social Worker | 91 Oliver Potts Rd, Newnan, GA 30263-3434 | 2006-12-21 |
| Find all providers in NEWNAN | ||||
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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.