SHAHAGONY BANKS


Address: 2109 Fairburn Rd Ste A, Douglasville, GA 30135-1037
Phone: 7707267958

SHAHAGONY BANKS (NPI# 1376168302) 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) 1376168302
Entity Type Individual
Full Name SHAHAGONY BANKS
Credential CIT
Practice Address 2109 Fairburn Rd Ste A
Douglasville
GA 30135-1037
Mailing Address 708 Sable Chase Blvd
Mcdonough
GA 30253-3463
Practice Telephone 7707267958
Mailing Telephone 7704122532
Enumeration Date 2020-06-16
Last Update Date 2020-06-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 2109 FAIRBURN RD STE A
City DOUGLASVILLE
State GA
Zip Code 30135-1037

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730482621 Healthqwest LLC Community/Behavioral Health 2109 Fairburn Rd Ste A, Douglasville, GA 30135-1037 2010-12-15
1821611013 Jennifer Alicia Smith-franklin Licensed Practical Nurse 2109 Fairburn Rd Ste A, Douglasville, GA 30135-1037 2020-05-21
1487214656 Kaiya Hamilton Licensed Vocational Nurse 2109 Fairburn Rd Ste A, Douglasville, GA 30135-1037 2019-06-19
1881153161 Kristy Kay Garrett Counselor 2109 Fairburn Rd Ste A, Douglasville, GA 30135-1037 2019-03-18
1871057174 Shereika Marshay Whitfield Technician, Pathology 2109 Fairburn Rd Ste A, Douglasville, GA 30135-1037 2019-01-31
1093298721 Yvette Patrina Brown Counselor 2109 Fairburn Rd Ste A, Douglasville, GA 30135-1037 2018-09-10
1568948123 Consuelo Denise Walker Licensed Practical Nurse 2109 Fairburn Rd Ste A, Douglasville, GA 30135-1037 2018-07-17
1215434436 Lacy Nicole Taylor Licensed Practical Nurse 2109 Fairburn Rd Ste A, Douglasville, GA 30135-1037 2018-04-13
1659875508 Onedia Swint Licensed Practical Nurse 2109 Fairburn Rd Ste A, Douglasville, GA 30135-1037 2018-03-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265043301 Heart & Soul Wellness Solutions LLC Social Worker 4752 Pepper Tree Lane, Douglasville, GA 30135 2020-08-12
1477176923 R & J Health Care Clinic/Center 6853b Douglas Blvd Ste B, Douglasville, GA 30135 2020-05-19
1003479411 The Sister Circle of Love and Empowerment LLC Clinic/Center 4706 Boyer Glen Dr., Douglasville, GA 30135 2019-04-22
1457825358 Marcia Ann-marie Wilson Nurse Practitioner 4279 Caroline Court, Douglasville, GA 30135 2019-01-14
1225564917 Danielle Doebereiner-brown Nurse Practitioner 3872 Ga-5, Douglasville, GA 30135 2017-05-02
1851832430 Jennifer Williams Physical Therapist 4999 Presley Mill Rd, Douglasville, GA 30135 2017-03-15
1316484686 Geneva Brent Licensed Practical Nurse 2109 Fairburn Road, Douglasville, GA 30135 2017-01-25
1659816288 Stephanie Walthour Marriage & Family Therapist 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 2017-01-05
1770932105 Solutions 2 Wellness and Recovery,llc Social Worker 2256 Greenwood Meadows Lane, Douglasville, GA 30135 2016-06-07
1326408378 Sr & L Transport Services, LLC Non-emergency Medical Transport (VAN) 4841 Black Bear Trail, Douglasville, GA 30135 2016-03-03
Find all providers in zip 30135

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992337539 Brittany Mccaleb Counselor 12461 Veterans Memorial Hwy Ste 575, Douglasville, GA 30134-2025 2020-02-11
1720561194 Dove Long Counselor 2109 Fairburn Rd # A, Douglasville, GA 30135-1037 2018-09-12
1659552651 Antoinette Gooden Counselor 6000 Stewart Parkway, #6777, Douglasville, GA 30135-6777 2007-11-18
1073137394 Justin Murray Counselor 8335 Office Park Dr, Douglasville, GA 30134-6937 2020-06-02
1184250854 Cheryll Sue Gaver Counselor 5833 Stewart Pkwy Ste 103, Douglasville, GA 30135-6933 2020-03-13
1952934168 Sherri Vernell Wilson Counselor 2109 Fairburn Rd, Douglasville, GA 30135-1037 2020-02-17
1134759491 Rebekah M Reynolds Counselor 5833 Stewart Pkwy Ste 103, Douglasville, GA 30135-6933 2020-01-24
1376189431 Mark David Lafond Counselor 2109 Fairburn Rd, Douglasville, GA 30135-1037 2019-11-25
1073168969 Ruth Fitzgerad Counselor 2109 Fairburn Rd, Douglasville, GA 30135-1037 2019-08-07
1780246751 Kathryn Walker Counselor 2109 Fairburn Rd # A, Douglasville, GA 30135-1037 2019-07-01
Find all providers in DOUGLASVILLE

Competitor

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City DOUGLASVILLE
Zip Code 30135

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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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