MR. ADAM DAVIS BAGLEY (NPI# 1639430069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639430069 |
| Entity Type | Individual |
| Full Name | MR. ADAM DAVIS BAGLEY |
| Credential | LMFT |
| Practice Address |
24 Waleska St Ste 100 Canton GA 30114-2739 |
| Mailing Address |
Po Box 4426 Canton GA 30114-0200 |
| Practice Telephone | 4702537252 |
| Mailing Telephone | 8003971710 |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT001240 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265941892 | Adam K Bagley | Physician Assistant | 4403 Harrison Blvd Ste 2400, Ogden, UT 84403-3297 | 2017-09-26 |
| 1649595216 | Adam Walker Bagley | Internal Medicine | 1660 Prudential Dr, Suite 310, Jacksonville, FL 32207-8197 | 2010-04-07 |
| Street Address |
24 WALESKA ST STE 100 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| 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 |
|---|---|---|---|---|
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| 1093926586 | Deborah Park | Marriage & Family Therapist | 527 30th St Nw, Canton, OH 44709-3109 | 2007-05-25 |
| 1407949431 | Joanne Waithaka | Marriage & Family Therapist | 38 Chapel St, Canton, MA 02021-2541 | 2006-10-02 |
| 1891334579 | Douglas Ryder | Marriage & Family Therapist | 401 Tuscarawas St W, Canton, OH 44702-2042 | 2019-12-30 |
| 1497236830 | Robert Dean Wolf | Marriage & Family Therapist | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2018-08-23 |
| 1629557327 | Jessica Anne Fennell | Marriage & Family Therapist | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2018-08-13 |
| 1912491036 | Tara Flakes | Marriage & Family Therapist | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2018-06-21 |
| 1568963379 | Jennifer L Davis | Marriage & Family Therapist | 624 Market Ave N, Canton, OH 44702-1017 | 2018-02-27 |
| 1962858639 | Danielle Sondeen | Marriage & Family Therapist | 50 Albany Tpke, Building #4, Canton, CT 06019-2516 | 2016-05-11 |
| 1386873636 | Silver Counseling Services LLC | Marriage & Family Therapist | 50 Albany Tpke, Suite 5036, Canton, CT 06019-2516 | 2009-07-08 |
| Find all providers in CANTON | ||||
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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.