SHAHAGONY BANKS (NPI# 1376168302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
2109 FAIRBURN RD STE A |
City | DOUGLASVILLE |
State | GA |
Zip Code | 30135-1037 |
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 |
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 Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
City | DOUGLASVILLE |
Zip Code | 30135 |
Please comment or provide details below to improve the information on SHAHAGONY BANKS.
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.