ALYSE FANDRICH (NPI# 1508418203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508418203 |
| Entity Type | Individual |
| Full Name | ALYSE FANDRICH |
| Practice Address |
755 S Main St Baxley GA 31513-0130 |
| Practice Telephone | 9123674614 |
| Practice Fax Number | 9123679048 |
| Mailing Telephone | 9123674614 |
| Mailing Fax Number | 9123679048 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC010854 | GA | Behavioral Health & Social Service Providers |
| Street Address |
755 S MAIN ST |
| City | BAXLEY |
| State | GA |
| Zip Code | 31513-0130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235305137 | Appling Counseling Center | Community/Behavioral Health | 755 S Main St, Baxley, GA 31513-0130 | 2008-05-01 |
| 1568431740 | Teresa D Cezar | Internal Medicine | 755 S Main St, Baxley, GA 31513-0130 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723515 | Sarah Chapman Swinson | Pharmacist | 160 Azalea Rd, Baxley, GA 31513 | 2020-09-02 |
| 1225642705 | Briana Baxley Aycock | Pharmacist | 160 Azalea Road, Baxley, GA 31513 | 2020-09-02 |
| 1114493988 | Telehealth Resources, LLC | Family Medicine | 77 North Main Street, Suite B, Baxley, GA 31513 | 2018-10-19 |
| 1588155386 | Jessica Jade Stone Lamb | Counselor | 7092 Nails Ferry Rd, Baxley, GA 31513 | 2018-05-29 |
| 1942701248 | The Baxley Appling County Hospital Authority | Family Medicine | 40 Wildes Street, Surrencey, GA 31513 | 2018-02-22 |
| 1023530953 | Dental Center of Baxley | Dentist | 51 Walnut Street, Baxley, GA 31513 | 2017-07-12 |
| 1083024608 | Mctwynn, Inc | Assisted Living Facility | 111 Stephens Ave, Baxley, GA 31513 | 2014-05-05 |
| 1801239389 | East Georgia Healthcare Center Inc | Clinic/Center | 1636 Hatch Parkway South, Baxley, GA 31513 | 2013-04-15 |
| 1093057101 | Bryan Lanier Holmes Sr. | Counselor | 185 Middlewood Dr., Baxley, GA 31513 | 2013-03-27 |
| 1821378076 | Doctors of Compassionate Services | Family Medicine | 277 Lackawanna St, Baxley, GA 31513 | 2011-08-19 |
| Find all providers in zip 31513 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588155386 | Jessica Jade Stone Lamb | Counselor | 7092 Nails Ferry Rd, Baxley, GA 31513 | 2018-05-29 |
| 1992360358 | Mika Elani Pearson | Counselor | 9420 Blackshear Hwy, Baxley, GA 31513-5715 | 2019-05-01 |
| 1629537097 | Gwenetta A Harris | Counselor | 437 W Parker St, Baxley, GA 31513-0605 | 2019-03-15 |
| 1629337399 | Ruth Ann Hollis | Counselor | 9420 Blackshear Hwy, Baxley, GA 31513-5715 | 2012-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1780284513 | Hogue Counseling and Consulting Services, LLC | Counselor | 7861 Waterlace Dr, Fairburn, GA 30213-4648 | 2020-10-30 |
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.