MR. CONARD PEACOCK (NPI# 1609499987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609499987 |
| Entity Type | Individual |
| Full Name | MR. CONARD PEACOCK |
| Credential | LPC |
| Practice Address |
9065 Brockham Way Alpharetta GA 30022-8505 |
| Practice Telephone | 6786369471 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
010105 | GA | Behavioral Health & Social Service Providers |
| Street Address |
9065 BROCKHAM WAY |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30022-8505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083249148 | Amanda Faye Ray | Counselor | 11675 Century Dr Ste B&c, Alpharetta, GA 30009-8366 | 2020-03-10 |
| 1689210916 | Shannon Mercer Pugh | Counselor | 5755 N Point Pkwy Ste 240, Alpharetta, GA 30022-1173 | 2019-11-21 |
| 1225687775 | Claire Smith Parker | Counselor | 11807 Northfall Ln Ste 902, Alpharetta, GA 30009-7972 | 2019-09-07 |
| 1235601626 | Faith and Hope Counseling Services LLC | Counselor | 286 S Main St Ste 400, Alpharetta, GA 30009-1943 | 2018-12-22 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1689184210 | Ruth Santos-ortiz | Counselor | 1065 Powers Pl Ste B, Alpharetta, GA 30009-7205 | 2017-10-10 |
| 1447779095 | Tameka Michelle Scott | Counselor | 426 Deerfield Pt, Alpharetta, GA 30004-8933 | 2017-09-14 |
| 1235582669 | Meschelle King | Counselor | 4575 Webb Bridge Rd, 2382, Alpharetta, GA 30005-4256 | 2016-07-20 |
| 1346698594 | Jai Dames | Counselor | 5575 North Point Pkwy, Suite 205, Alpharetta, GA 30022-3720 | 2016-05-27 |
| 1609220326 | Shelley Northrup | Counselor | 11138 State Bridge Rd Ste 100a, Alpharetta, GA 30022-7465 | 2016-04-19 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30022 |
Please comment or provide details below to improve the information on MR. CONARD PEACOCK.
| 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.