SIERRA MARCUS (NPI# 1699383331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699383331 |
| Entity Type | Individual |
| Full Name | SIERRA MARCUS |
| Credential | MA |
| Practice Address |
3305 Breckinridge Blvd Ste 116 Duluth GA 30096-4932 |
| Practice Telephone | 7704959775 |
| Practice Fax Number | 7704959745 |
| Mailing Telephone | 7704959775 |
| Mailing Fax Number | 7704959745 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3305 BRECKINRIDGE BLVD STE 116 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548469695 | Elizabeth Gene Burnett | Psychologist | 3305 Breckinridge Blvd Ste 116, Duluth, GA 30096-4932 | 2007-07-17 |
| 1366908246 | Kelsey Sander | Social Worker | 3305 Breckinridge Blvd Ste 116, Duluth, GA 30096-4932 | 2019-02-15 |
| 1083089239 | Manna Scholarship Fund Inc | Psychologist | 3305 Breckinridge Blvd Ste 116, Duluth, GA 30096-4932 | 2015-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121929 | Richard Wallace Klomp | Counselor | 1810 Peachtree Industrial Blvd Ste 231, Duluth, GA 30097-8178 | 2020-07-07 |
| 1942862883 | Sabrina Tollefson | Counselor | 230 E Superior St Ste 202, Duluth, MN 55802-2185 | 2019-07-01 |
| 1265993927 | Bertrina Olivia West | Counselor | 10475 Medlock Bridge Rd Ste 205, Duluth, GA 30097-4446 | 2019-03-26 |
| 1740744853 | Eve-lynn R Fellersen | Counselor | 104 W Superior St Ste 200, Duluth, MN 55802-3000 | 2019-01-23 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1669966024 | Adeola Adefowoju | Counselor | 6115 Abbotts Bridge Rd Apt 403, Duluth, GA 30097-5753 | 2018-06-19 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1508319260 | Kristine Kuns | Counselor | 715 E Central Entrance, Duluth, MN 55811-5596 | 2016-07-29 |
| 1972056950 | Lakeesha Harper | Counselor | 420 Autumn Village Ct, Duluth, GA 30096-7583 | 2016-07-26 |
| Find all providers in DULUTH | ||||
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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.