ORIGINAL MICHAEL (NPI# 1437576253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437576253 |
| Entity Type | Individual |
| Full Name | ORIGINAL MICHAEL |
| Credential | CACI,CACII |
| Practice Address |
159 Forsyth St Sw Atlanta GA 30303-3634 |
| Practice Telephone | 4045234599 |
| Practice Fax Number | 4045860645 |
| Mailing Telephone | 4045234599 |
| Mailing Fax Number | 4045860645 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3026 | GA | Behavioral Health & Social Service Providers |
| Street Address |
159 FORSYTH ST SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669745675 | Walter Brooks | Psychologist | 159 Forsyth St Sw, Atlanta, GA 30303-3634 | 2012-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495411 | Bianca Tiara Abrams | Counselor | 916 Glenwood Park Dr Se, Atlanta, GA 30316-6845 | 2020-10-23 |
| 1780283713 | Stacey Dougan | Counselor | 696 Mountain Dr Ne, Atlanta, GA 30342-3904 | 2020-10-21 |
| 1851998744 | Amanda Hock | Counselor | 3565 Piedmont Rd Ne Ste 510, Atlanta, GA 30305-8202 | 2020-10-05 |
| 1023625985 | Nathlie Dowdell | Counselor | 1939 Sylvan Rd Sw, Atlanta, GA 30310-5019 | 2020-09-24 |
| 1598371304 | Nissa Christina White | Counselor | 3520 Piedmont Rd Ne Ste 300, Atlanta, GA 30305-1512 | 2020-09-17 |
| 1194339689 | Harry Scott Gordon | Counselor | 3342 Rose Rdg, Atlanta, GA 30340-4074 | 2020-09-02 |
| 1023621869 | Naquia Scott | Counselor | 3330 Cumberland Blvd Se # 3330, Atlanta, GA 30339-5995 | 2020-08-30 |
| 1023621653 | Lindsey Hutchins | Counselor | 55 Mcdonough Blvd Se, Atlanta, GA 30315-2316 | 2020-08-24 |
| 1285246009 | Nickesha Melisa Douglas | Counselor | 1976 Flat Shoals Rd Se Ste A, Atlanta, GA 30316-2857 | 2020-08-21 |
| 1407467434 | Life Changes Counseling and Consultant Services, LLC | Counselor | 1003 Virginia Ave Ste 104, Atlanta, GA 30354-1366 | 2020-08-13 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on ORIGINAL MICHAEL.
| 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.