MS. MIREILLE ETIENNE


Address: 114 New St, Suite G-4, Decatur, GA 30030-4132
Phone: 7708852855

MS. MIREILLE ETIENNE (NPI# 1760414387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760414387
Entity Type Individual
Full Name MS. MIREILLE ETIENNE
Credential LPC
Practice Address 114 New St
Suite G-4
Decatur
GA 30030-4132
Mailing Address 1 W Court Sq
Suite 750
Decatur
GA 30030-2538
Practice Telephone 7708852855
Practice Fax Number 6784186540
Mailing Telephone 8662983447
Mailing Fax Number 8662615260
Enumeration Date 2006-07-06
Last Update Date 2013-03-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
005172 NY Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
LPC004290 GA Behavioral Health & Social Service Providers

Office Location

Street Address 114 NEW ST
SUITE G-4
City DECATUR
State GA
Zip Code 30030-4132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861690489 Angelika W Brocklehurst Occupational Therapist 114 New St, Decatur, GA 30030-4132 2007-07-05
1760509327 Janna Dehler Morgan Physical Therapist 114 New St, Suite I-2, Decatur, GA 30030-4132 2007-03-26
1720143514 Lauren Zimet Speech-Language Pathologist 114 New St, C1, Decatur, GA 30030-4132 2006-12-22
1598826273 Jill Mcgee Torres Physical Therapist 114 New St, Suite I-2, Decatur, GA 30030-4132 2006-12-13
1821158270 Marla E Smith Physical Therapist 114 New St, Suite I - 2, Decatur, GA 30030-4132 2006-12-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801413174 Pa-c Surgical Assist, LLC Clinic/Center 520 W Ponce Leon Ave #1706, Decatur, GA 30030 2020-07-02
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1669016143 Atlanta Upper Cervical Chiropractic LLC Chiropractor 125 E Trinity Place, Suite #247, Decatur, GA 30030 2019-10-29
1831757418 Jessica Stewart Counselor 755 Commerce Dr Ste 903, Decatur, GA 30030 2019-05-30
1699238733 Dinah Augustin Registered Nurse 1458 Church St., Unit B, Decatur, GA 30030 2019-04-06
1093284291 Eliza Segell Social Worker 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 2018-11-16
1912476466 Positive Impact Health Centers, Inc. Pharmacy 523 Church Street, Suite B, Decatur, GA 30030 2018-11-14
1932685096 T2 Imaging Radiology 1376 Church Street, Suite 100, Decatur, GA 30030 2018-07-12
1992292858 Keeanna M Powell Counselor Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 2018-04-17
1780185488 Solutions Ae Inc Counselor One West Square Court, Suite 710, Decatur, GA 30030 2018-02-27
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598363392 Kimberly Swanson Counselor 311 West Hill Street, Decatur, GA 30030-4319 2020-10-14
1083228050 Lasonja D Carter Counselor 2920 Frost Dr Sw, Decatur, AL 35603-4531 2020-09-07
1154935468 Nick Hersey Counselor 1924 Clairmont Rd Ste 50, Decatur, GA 30033-3450 2020-09-03
1760095814 Potters Touch Counseling Inc. Counselor 4150 Snapfinger Woods Dr Ste 100, Decatur, GA 30035-3417 2020-08-28
1407464563 Starre Cannon Counselor 3183 Tarian Way, Decatur, GA 30034-5539 2020-07-15
1164040713 Bethany Cecelia Merrett Counselor 223 Kathryn Ave, Decatur, GA 30030-5017 2020-07-09
1053939090 Virtue Speaks LLC Counselor 4150 Snapfinger Woods Dr Ste 104d, Decatur, GA 30035-3417 2020-07-07
1821619842 Knitikia Gross Counselor 436 Eastwyck Cir, Decatur, GA 30032-6694 2020-04-30
1063033074 Marcy Renee Jefferson-watkins Counselor 2126 6th Ave Se Ste 208, Decatur, AL 35601-6547 2020-04-30
1790304004 Tonia D Morris Counselor 3006 Western Sunset Ct, Decatur, GA 30034-1692 2020-04-16
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Competitor

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City DECATUR
Zip Code 30030

Improve Information

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Dataset Information

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.

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