CLEO EVANS (NPI# 1457680704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457680704 |
| Entity Type | Individual |
| Full Name | CLEO EVANS |
| Credential | LPC |
| Practice Address |
5638 Manassas Run Stone Mountain GA 30087 |
| Practice Telephone | 4702628351 |
| Mailing Telephone | 4702628351 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2015-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC007300 | GA | Behavioral Health & Social Service Providers |
| Street Address |
5638 MANASSAS RUN |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| 1730348210 | Childrens Dentistry of Lithonia LLC | Clinic/Center | 374 C North Deshon Road, Stone Mountain, GA 30087 | 2008-06-09 |
| Find all providers in zip 30087 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276703 | Calvangi LLC | Counselor | 4796 Manly Ct, Stone Mountain, GA 30088-3623 | 2020-08-19 |
| 1114540911 | Dana Jennings | Counselor | 1505 Ashbrooke Trce, Stone Mountain, GA 30083-1306 | 2020-05-27 |
| 1093350761 | Cierra Harris | Counselor | 221 Scenic View Ln, Stone Mountain, GA 30087-6193 | 2019-11-16 |
| 1124598248 | Barbara Ann Sims-king | Counselor | 1005 Summit Lake Dr, Stone Mountain, GA 30083-6946 | 2018-12-01 |
| 1619411634 | Maria Joy Cauley | Counselor | 1505 Lilburn Stone Mountain Rd Ste 235, Stone Mountain, GA 30087-1857 | 2016-12-09 |
| 1518327360 | Nikkiya D Brooks | Counselor | 4473 Thornwood Trl, Stone Mountain, GA 30083-5394 | 2016-03-07 |
| 1134501372 | Sharalynn Simmons | Counselor | 824 Arbor Hill Dr, Stone Mountain, GA 30088-2365 | 2015-06-24 |
| 1609253863 | Martin Mcquilkin | Counselor | 1988 Lilburn Stone Mountain Rd, Stone Mountain, GA 30087-1722 | 2015-04-27 |
| 1225474141 | Richard Gerson | Counselor | 237 Villa Park Cir, Stone Mountain, GA 30087-6778 | 2013-05-18 |
| 1174864714 | Antita Carter | Counselor | 1050 Redan Trce, Stone Mountain, GA 30088-2900 | 2013-03-06 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
Please comment or provide details below to improve the information on CLEO EVANS.
| 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.