CRYSTAL S GILLERY (NPI# 1619419140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619419140 |
| Entity Type | Individual |
| Full Name | CRYSTAL S GILLERY |
| Credential | LAMFT |
| Practice Address |
3 Dunwoody Park Suite 126 Atlanta GA 30338-7405 |
| Practice Telephone | 4049073620 |
| Mailing Telephone | 4049073620 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | AAMFT000391 | GA | Behavioral Health & Social Service Providers |
| Street Address |
3 DUNWOODY PARK SUITE 126 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-7405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003855842 | Steven L Stepp | Specialist/Technologist | 3 Dunwoody Park, Atlanta, GA 30338-7405 | 2006-06-06 |
| 1497096150 | Dunwoody Park Family Dentistry | Clinic/Center | 3 Dunwoody Park, Suite 119, Atlanta, GA 30338-7405 | 2013-03-06 |
| 1477623437 | Southern Resources Consultants Inc | Contractor | 3 Dunwoody Park, Ste 103, Atlanta, GA 30338-7405 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019846 | Britney Ledford | Marriage & Family Therapist | 1760 Northside Dr Nw Apt 104, Atlanta, GA 30318-2666 | 2020-06-25 |
| 1215556717 | Ronika Cotton | Marriage & Family Therapist | 2002 Summit Boulevard, Suite 300, Atlanta, GA 30319 | 2020-04-14 |
| 1457981938 | Kelly Grant Stephens | Marriage & Family Therapist | 4200 Northside Pkwy Nw Bldg 6, Atlanta, GA 30327-3007 | 2020-01-23 |
| 1457991085 | Emily Carol Sands | Marriage & Family Therapist | 685 Linwood Ave Ne Ste 200d, Atlanta, GA 30306-4437 | 2020-01-12 |
| 1013559947 | Patricia Mccall Corlew | Marriage & Family Therapist | 36 Old Ivy Sq Ne, Atlanta, GA 30342-4271 | 2019-10-11 |
| 1073168100 | Renee Michelle Roski-holdo | Marriage & Family Therapist | 1900 The Exchange Se Ste 180, Atlanta, GA 30339-2049 | 2019-08-06 |
| 1609343789 | Sydney Nicole Gaines | Marriage & Family Therapist | 2636 Mlk Jr Dr Sw Ste 12and24, Atlanta, GA 30311-1634 | 2018-10-26 |
| 1336638022 | Robert Carroll II | Marriage & Family Therapist | 2375 Shallowford Rd Ne, Atlanta, GA 30345-1342 | 2018-05-08 |
| 1730677626 | Natasha Nicole Powell | Marriage & Family Therapist | 427 Moreland Ave Ne Ste 300, Atlanta, GA 30307-1500 | 2018-04-25 |
| 1669972469 | Ashley Nicole Miller | Marriage & Family Therapist | 3333 Piedmont Rd Ne Ste 2050, Atlanta, GA 30305-1713 | 2018-02-19 |
| 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.