RICK PETRONELLA (NPI# 1770136236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770136236 |
Entity Type | Individual |
Full Name | RICK PETRONELLA |
Practice Address |
1010 Huntcliff Ste 1210 Sandy Springs GA 30350-1809 |
Practice Telephone | 6783957922 |
Practice Fax Number | 6789546589 |
Mailing Telephone | 6783957922 |
Mailing Fax Number | 6789546589 |
Enumeration Date | 2019-07-23 |
Last Update Date | 2019-07-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C0079 | GA | Behavioral Health & Social Service Providers |
Street Address |
1010 HUNTCLIFF STE 1210 |
City | SANDY SPRINGS |
State | GA |
Zip Code | 30350-1809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659970697 | Conor John O'brien | Behavior Technician | 1218 Hightower Trail, B120, Atlanta, GA 30350 | 2020-10-21 |
1346853975 | Jessica Bernstein | Behavioral Analyst | 500 Vinington Court, Atlanta, GA 30350 | 2020-08-24 |
1619489390 | Breast Cancer Breast Care Products, LLC Dba Pink Ribbon Consulting | Durable Medical Equipment & Medical Supplies | 55 Saddleview Run, Atlanta, GA 30350 | 2017-11-02 |
1679090724 | Deliluz Roubert Echevarria | Speech-Language Pathologist | 8404 Roswell Rd Apt Q, Atlanta, GA 30350 | 2017-08-29 |
1164962882 | Ipsum Diagnostics LLC | Clinical Medical Laboratory | 8607 Roberts Dr Ste 125, Atlanta, GA 30350 | 2017-02-28 |
1700335627 | Juma Gassim | Specialist/Technologist, Other | 7949 Roswell Rd., Apt. F, Atlanta, GA 30350 | 2016-10-04 |
1902297153 | Hope Stoney | Chiropractor | 701 Harbor Pointe Parkway, Sandy Springs, GA 30350 | 2015-02-10 |
1942698386 | Laurie Johnson | Counselor | 1605 Lazy River Lane, Atlanta, GA 30350 | 2015-01-08 |
1497175905 | Ispm Labs, LLC | Clinical Medical Laboratory | 8601 Dunwoody Pl Ste 444, Atlanta, GA 30350 | 2014-04-23 |
1295097236 | Ginger Liane Hill | Behavioral Analyst | 1215 Hightower Trail, Bldg. B #120, Atlanta, GA 30350 | 2012-06-14 |
Find all providers in zip 30350 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083068647 | Nicole N Benton | Counselor | 5555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342-4759 | 2016-04-20 |
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 |
City | SANDY SPRINGS |
Zip Code | 30350 |
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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.