LORETTA FELTS (NPI# 1508424862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508424862 |
| Entity Type | Individual |
| Full Name | LORETTA FELTS |
| Practice Address |
1017 Fayetteville Rd Se Atlanta GA 30316-2932 |
| Practice Telephone | 4044869034 |
| Mailing Telephone | 4044869034 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1354 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 155 | 05 |
| Street Address |
1017 FAYETTEVILLE RD SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184945420 | Hasani K Baharanyi | Psychiatry & Neurology | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2010-06-22 |
| 1417572546 | Rayshonna Durham | Social Worker | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-06-15 |
| 1528693108 | Bertrand Brown | Social Worker | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-03-04 |
| 1629603295 | Samantha Marie Martinez | Social Worker | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-03-04 |
| 1467084020 | Lindsay Michelle Mitchiner | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-02-11 |
| 1013547660 | Alexis Flen | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-01-23 |
| 1316582034 | Davril Miranni Huggins-looby | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-11-18 |
| 1215572912 | Shanelle Thomasina Smith | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-11-18 |
| 1528618881 | Akosua Frampton | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-09-18 |
| 1619520343 | Erica Paschel | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| Find all providers in zip 30316 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246118 | Christopher White | Counselor | 1430 Desoto Ave Sw, Atlanta, GA 30310-4340 | 2020-05-13 |
| 1801429576 | Jacques Khorozian | Counselor | 1755 The Exchange Se Ste 375, Atlanta, GA 30339-7405 | 2020-02-20 |
| 1366083131 | Pyramid Family Behavioral Healthcare LLC | Counselor | 6000 Lake Forrest Dr Ste 200, Atlanta, GA 30328-3896 | 2019-10-03 |
| 1336622786 | Evi-luise Pover | Counselor | 3958 Old Atlanta Station Ct Se, Atlanta, GA 30339-1985 | 2018-09-12 |
| 1477032217 | Lester Long | Counselor | 1156 Woodland Ave Ne, Atlanta, GA 30324-4400 | 2018-08-13 |
| 1982193215 | A Better Life Treatment Inc. | Counselor | 1755 The Exchange Se Ste 365, Atlanta, GA 30339-7404 | 2018-05-02 |
| 1043716509 | Angela Luree Bode | Counselor | 559 Amsterdam Ave Ne Frnt Apt, Atlanta, GA 30306-3416 | 2018-04-03 |
| 1891206413 | Cyrus Rouhollah Nahai | Counselor | 23310 Plantation Dr Ne, Atlanta, GA 30324-2940 | 2017-10-23 |
| 1508392135 | Jennifer Wagner | Counselor | 702 Holly St, Atlanta, TX 75551-2308 | 2017-05-02 |
| 1326585373 | Lakieshia Jones | Counselor | 4245 Holliday Rd, Atlanta, GA 30349-8850 | 2017-01-30 |
| 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.