MRS. MARTHA HARRELL FENNELL (NPI# 1699099572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699099572 |
Entity Type | Individual |
Full Name | MRS. MARTHA HARRELL FENNELL |
Credential | LMFT |
Practice Address |
265 Orange St Macon GA 31201-1646 |
Practice Telephone | 4783612601 |
Mailing Telephone | 4783612601 |
Enumeration Date | 2010-03-21 |
Last Update Date | 2010-03-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | MFT001148 | GA | Behavioral Health & Social Service Providers |
Street Address |
265 ORANGE ST |
City | MACON |
State | GA |
Zip Code | 31201-1646 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
Find all providers in zip 31201 |
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 |
---|---|---|---|---|
1902448681 | Alicia Roberts | Marriage & Family Therapist | 2607 Vineville Ave Ste 101, Macon, GA 31204-0900 | 2019-10-14 |
1184271561 | Kathlyn Wohlrabe | Marriage & Family Therapist | 3780 Bloomfield Village Dr Ste 1, Macon, GA 31206-0806 | 2019-08-21 |
1710487269 | Blue Cedar Counseling | Marriage & Family Therapist | 3263 Vineville Ave, Macon, GA 31204-2343 | 2018-02-20 |
1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
1316222946 | Gerri A Robbins | Marriage & Family Therapist | 577 Mulberry St, Suite 1000, Macon, GA 31201-2728 | 2011-10-14 |
1104061548 | Mary Elizabeth Key | Marriage & Family Therapist | 577 Mulberry St Ste 1000, Macon, GA 31201-8225 | 2008-12-15 |
1275778631 | Gerald P Allums | Marriage & Family Therapist | 277 Martin Luther King Jr Blvd Ste 203, Macon, GA 31201-3498 | 2008-12-12 |
1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
1659589356 | Cesar A Dumelod | Marriage & Family Therapist | 310 Ashville Ct, Macon, GA 31210-1669 | 2007-05-18 |
1205042850 | Renee L Sullivan | Marriage & Family Therapist | 153 Marcar Rd, Macon, GA 31216-5929 | 2007-05-14 |
Find all providers in MACON |
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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.