COLISHA MARIE AMOS


Address: 1761 Kissingbower Rd, Augusta, GA 30904-6615
Phone: 7066919688

COLISHA MARIE AMOS (NPI# 1376182527) 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) 1376182527
Entity Type Individual
Full Name COLISHA MARIE AMOS
Credential LPC
Practice Address 1761 Kissingbower Rd
Augusta
GA 30904-6615
Practice Telephone 7066919688
Mailing Telephone 7066919688
Enumeration Date 2020-01-04
Last Update Date 2020-01-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LPC010193 GA Behavioral Health & Social Service Providers

Office Location

Street Address 1761 KISSINGBOWER RD
City AUGUSTA
State GA
Zip Code 30904-6615

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NPI Name Taxonomy Address Enumeration
1518423706 Lawren Murray Tachias Registered Nurse 950 15th Street Downtown, Augusta, GA 30904 2019-02-13
1457851842 Heba Ahmed Pharmacist 912 15th Street, Augusta, GA 30904 2018-02-13
1124552690 Jenny Liles Student in an Organized Health Care Education/Training Program 1004 Chafee Ave, Augusta, GA 30904 2017-04-11
1932640836 Claudia Crawford Student in an Organized Health Care Education/Training Program 2624 Oakland Ave., Augusta, GA 30904 2017-03-13
1801240528 F. Marion Durst IIi Dmd PC Clinic/Center 2325 Washington Road, Augusta, GA 30904 2016-04-19
1689031296 Teresa Maria Martin Counselor 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 2016-01-27
1598122269 Jillian Wilkerson Counselor Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 2016-01-26
1760855241 Chase King Occupational Therapist 1735 Berkeley Rd, Augusta, GA 30904 2015-11-05
1962832246 April Underwood Fox Physician Assistant 1417 Pendleton Rd, Augusta, GA 30904 2013-11-22
1861734378 John Graham Theisen Obstetrics & Gynecology 810 Chafee Avenue, Augusta, GA 30904 2013-03-22
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003431057 Whitney O'connor Counselor 1232 Hickman Rd, Augusta, GA 30904-4733 2020-06-15
1093339186 Kari Viola-brooke Counselor 2707 Downing St, Augusta, GA 30909-3734 2020-06-03
1477182541 Wanda Joy Roberts Counselor 250 Milledge Rd, Augusta, GA 30904-3577 2020-04-02
1730746009 Kimberly Bridi Counselor 3351 Wrightsboro Rd Ste 301, Augusta, GA 30909-2838 2019-05-22
1669934469 Julian Bogan Counselor 1135 Greg Hwy., Augusta, SC 29801 2019-04-02
1396226445 Suzanah Richelle Schoen Counselor 2821 South Brookside Drive, Augusta, KS 67010-2433 2018-08-27
1891203345 Community Service Board of East Central Georgia Counselor 1253 Greene St, Augusta, GA 30901-2127 2018-01-18
1851826267 Denise Finney Counselor 2820 Hillcreek Dr, Suite A, Augusta, GA 30909-5628 2017-04-23
1043757818 Marc Story Counselor 315 W 4th St Apt 6, Augusta, KY 41002-1089 2017-01-31
1124561766 Sasha Latara Mccraw Counselor 7303 Palomino Court, Augusta, GA 30909 2016-11-30
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Competitor

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City AUGUSTA
Zip Code 30904

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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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