ANDRE MCDANIEL (NPI# 1396092953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396092953 |
| Entity Type | Individual |
| Full Name | ANDRE MCDANIEL |
| Practice Address |
5524 Old National Hwy Ste B College Park GA 30349-3212 |
| Mailing Address |
4132 Atlanta Hwy Ste 110-224 Loganville GA 30052-4930 |
| Practice Telephone | 4047638555 |
| Practice Fax Number | 4047638502 |
| Mailing Telephone | 6782886550 |
| Mailing Fax Number | 6782886550 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
GA55492 | GA | Behavioral Health & Social Service Providers |
| Street Address |
5524 OLD NATIONAL HWY STE B |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30349-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225232440 | Lisa M Hewitt-geer | Social Worker | 5524 Old National Hwy, Building B, Suite 150-a, College Park, GA 30349 | 2007-06-12 |
| 1164768537 | Nicole Chavannes | Registered Nurse | 5524 Old National Hwy, Ste B, College Park, GA 30349-3341 | 2012-12-12 |
| 1477800993 | Darrell M Brooks | Counselor | 5524 Old National Hwy, Ste B, College Park, GA 30349-3212 | 2012-08-15 |
| 1073887899 | Carla Warrick | Social Worker | 5524 Old National Hwy, Ste B, College Park, GA 30349-3212 | 2012-02-24 |
| 1174802029 | Mary Botchey | Registered Nurse | 5524 Old National Hwy, Ste B, College Park, GA 30349-3212 | 2011-08-10 |
| 1942589734 | June Mitchell | Registered Nurse | 5524 Old National Hwy, Ste B, College Park, GA 30349-3212 | 2011-08-10 |
| 1700179637 | Monica Denise Borum | Licensed Practical Nurse | 5524 Old National Hwy, Suite B, College Park, GA 30349-3212 | 2011-05-25 |
| 1437442803 | Diane Boulai | Licensed Practical Nurse | 5524 Old National Hwy, Suite B, College Park, GA 30349-3212 | 2011-05-18 |
| 1023301405 | Kira S Bradley | Counselor | 5524 Old National Hwy, College Park, GA 30349-3212 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962993436 | Bridges of Success, Inc. | Counselor | 3707 Main St, #10, College Park, GA 30337 | 2018-05-21 |
| 1154558526 | Brenda J Edwards | Counselor | 1882 Princeton Ave, Suite 9, College Park, GA 30337-3537 | 2009-06-12 |
| 1689604605 | Odyssey Family Counseling Center Corporation | Counselor | 1919 John Wesley Avenue, College Park, GA 30337 | 2006-07-04 |
| 1720634884 | Irie's Behavioral Health Services | Counselor | 5495 Old National Hwy Ste C1, College Park, GA 30349-3256 | 2019-08-14 |
| 1346631967 | Nettie Faye Culver | Counselor | 2245 Godby Rd, Suite 102/104, College Park, GA 30349-5059 | 2015-02-18 |
| 1023454105 | Faye Ann Buffaloe | Counselor | 4854 Old National Hwy, Suite 226, College Park, GA 30337-6221 | 2013-05-16 |
| 1174863047 | Nak Union, Inc | Counselor | 5530 Old National Hwy, Bldg C, Ste B, College Park, GA 30349 | 2013-02-28 |
| 1023301405 | Kira S Bradley | Counselor | 5524 Old National Hwy, College Park, GA 30349-3212 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354864 | Our Voice Matters LLC | Counselor | 1258 Cedar Ave Unit 701, Columbus, GA 31906-2446 | 2020-10-18 |
| 1659978294 | Brett Lowrey | Counselor | 400 Dawson Commons Cir Ste 400, Dawsonville, GA 30534-6269 | 2020-10-07 |
| 1972110674 | Tiffany Scott | Counselor | 9071 Jimmy Lee Cir, Jonesboro, GA 30238-7009 | 2020-09-26 |
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1780296723 | Janet Brown | Counselor | 166b Mount Pleasant Church Rd, Pineview, GA 31071-5248 | 2020-08-20 |
| 1598377038 | Angie Hamilton | Counselor | 5101 Waterford Dr Sw, Mableton, GA 30126-1742 | 2020-08-17 |
| 1255942355 | Sonia Diane Glass | Counselor | 6285 Littleton Dr, Union City, GA 30291-1071 | 2020-08-12 |
| 1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
| 1184246118 | Christopher White | Counselor | 1430 Desoto Ave Sw, Atlanta, GA 30310-4340 | 2020-05-13 |
| 1316569619 | G.r.a.y.s. Group, LLC | Counselor | 1227 Augusta West Pkwy Ste 15, Augusta, GA 30909-6671 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 30349 |
Please comment or provide details below to improve the information on ANDRE MCDANIEL.
| 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.