JOSE DELACRUZ (NPI# 1750706313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750706313 |
| Entity Type | Individual |
| Full Name | JOSE DELACRUZ |
| Credential | CADC-II |
| Practice Address |
1990 Old Parker Rd Se Suite 100 Conyers GA 30094-6239 |
| Mailing Address |
Po Box 742531 Riverdale GA 30274-1345 |
| Practice Telephone | 6789133255 |
| Practice Fax Number | 4049754376 |
| Mailing Telephone | 6789133255 |
| Mailing Fax Number | 4049754376 |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
478 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710007257 | Jose R Delacruz | Dentist | 1590 Nw 10th Ave, Suite 301, Boca Raton, FL 33486-1313 | 2007-03-29 |
| Street Address |
1990 OLD PARKER RD SE SUITE 100 |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-6239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699119255 | Atlanta Quality Care Solutions, LLC | Community/Behavioral Health | 1990 Old Parker Rd Se, Suite 100, Conyers, GA 30094-6239 | 2013-04-24 |
| 1336694595 | Roselande Emmanuel | Nurse Practitioner | 1990 Old Parker Rd Se, Conyers, GA 30094-6239 | 2016-08-17 |
| 1427474030 | Sydney Hendrix | Social Worker | 1990 Old Parker Rd Se, Suite 100, Conyers, GA 30094-6239 | 2014-03-07 |
| 1497170716 | Terra Humphrey | Counselor | 1990 Old Parker Rd Se, Suite 100, Conyers, GA 30094-6239 | 2014-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1891267225 | Sarah Hilbert | Counselor | 1506 Klondike Rd Sw Ste 403, Conyers, GA 30094-5173 | 2018-12-24 |
| 1710398805 | Chawanis Jefferson Ash | Counselor | 1226 Royal Dr Sw, Suite E, Conyers, GA 30094-5925 | 2014-05-12 |
| 1497170716 | Terra Humphrey | Counselor | 1990 Old Parker Rd Se, Suite 100, Conyers, GA 30094-6239 | 2014-02-24 |
| 1598816266 | Pamela M Lake | Counselor | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2007-01-16 |
| 1669536165 | Debra Lynne Murphy | Counselor | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2006-12-20 |
| 1023170891 | Michelle M. Billups | Counselor | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354864 | Our Voice Matters LLC | Counselor | 1258 Cedar Ave Unit 701, Columbus, GA 31906-2446 | 2020-10-18 |
| 1659978294 | Brett Lowrey | Counselor | 400 Dawson Commons Cir Ste 400, Dawsonville, GA 30534-6269 | 2020-10-07 |
| 1972110674 | Tiffany Scott | Counselor | 9071 Jimmy Lee Cir, Jonesboro, GA 30238-7009 | 2020-09-26 |
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1780296723 | Janet Brown | Counselor | 166b Mount Pleasant Church Rd, Pineview, GA 31071-5248 | 2020-08-20 |
| 1598377038 | Angie Hamilton | Counselor | 5101 Waterford Dr Sw, Mableton, GA 30126-1742 | 2020-08-17 |
| 1255942355 | Sonia Diane Glass | Counselor | 6285 Littleton Dr, Union City, GA 30291-1071 | 2020-08-12 |
| 1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
| 1184246118 | Christopher White | Counselor | 1430 Desoto Ave Sw, Atlanta, GA 30310-4340 | 2020-05-13 |
| 1316569619 | G.r.a.y.s. Group, LLC | Counselor | 1227 Augusta West Pkwy Ste 15, Augusta, GA 30909-6671 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOSE DELACRUZ.
| 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.