KELLIE ANN HARRISON (NPI# 1396264735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396264735 |
| Entity Type | Individual |
| Full Name | KELLIE ANN HARRISON |
| Practice Address |
270 Carpenter Dr Ste 400 Atlanta GA 30328-4933 |
| Mailing Address |
2868 Betula Dr Austell GA 30106-8000 |
| Practice Telephone | 6784600345 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC009568 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045490 | Kellie Rose Harrison | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-02-13 |
| Street Address |
270 CARPENTER DR STE 400 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386946168 | Michelle D Mansfield | Counselor | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2010-11-29 |
| 1467926196 | Aisha Marcia Jones | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2019-01-16 |
| 1942774831 | Clifton Coleman | Social Worker | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2019-01-14 |
| 1902376064 | Tracy Smalls | Counselor | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2018-12-03 |
| 1922578061 | Bridget Harris | Counselor | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2018-12-02 |
| 1912477183 | Robin Easterling | Counselor | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2018-11-30 |
| 1578033049 | Shanta Hayes | Social Worker | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2018-11-27 |
| 1477020378 | Renae Dudley | Community/Behavioral Health | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2018-10-29 |
| 1346723046 | Jhadrian Lawrence | Counselor | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2018-09-10 |
| 1164904777 | Margarita Maria Betancourt Benjamin | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2018-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1356940712 | Shoshana Dayanim Agichtein | Counselor | 1380 Jody Ln Ne, Atlanta, GA 30329-3522 | 2020-10-18 |
| 1285231951 | Mecall Pearson | Counselor | 1350 Spring St Nw Ste 225, Atlanta, GA 30309-2866 | 2020-10-06 |
| 1447862172 | Dr. Burwell Speaks, LLC | Counselor | 3495 Buckhead Loop Ne Ste 1112, Atlanta, GA 30326-1528 | 2020-08-24 |
| 1386254761 | Jocelyn Patterson Mosley | Counselor | 2030 Gramercy Cir, Atlanta, GA 30341-1779 | 2020-07-31 |
| 1205444718 | Vanessa Lorraine Elizabeth Johnson | Counselor | 1388 Gates Cir Se, Atlanta, GA 30316-4092 | 2020-07-21 |
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1376161760 | Lisa J Strube | Counselor | 49 Lenox Pointe Ne Ste C, Atlanta, GA 30324-7426 | 2020-07-11 |
| 1881210201 | Destiny Winters | Counselor | 900 Dekalb Ave Ne Ste K, Atlanta, GA 30307-2501 | 2020-06-22 |
| 1912522582 | Dorian Ellis | Counselor | 5470 Lemoyne Dr Sw, Atlanta, GA 30331-9206 | 2020-06-10 |
| Find all providers in ATLANTA | ||||
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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.