ANGELA BENNETT (NPI# 1770146136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770146136 |
| Entity Type | Individual |
| Full Name | ANGELA BENNETT |
| Practice Address |
3040 Holcomb Bridge Rd Norcross GA 30071-1377 |
| Mailing Address |
2512 Summit Creek Dr Stone Mountain GA 30083-6425 |
| Practice Telephone | 7706969231 |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2019-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675770 | Angela Senaida Bennett | Behavior Technician | 1118 Hawaii Ave Apt A, Alamogordo, NM 88310-6441 | 2019-12-03 |
| 1912423518 | Angela Bennett | Licensed Practical Nurse | 4647 Lowell Ave Ne, Keizer, OR 97303-3842 | 2017-08-16 |
| 1144525098 | Angela Annett Bennett | Counselor | 716 Fancy Bluff Rd, Brunswick, GA 31523-6321 | 2011-01-24 |
| 1841513421 | Angela A. Bennett | Pediatrics | 8016 Colonial Road, Brooklyn, NY 11209-3520 | 2010-03-10 |
| 1730359142 | Angela Dawn Bennett | Pharmacist | 20 Industrial Drive, Dubois, PA 15801 | 2008-03-03 |
| 1720292527 | Angela Anita Bennett | Licensed Vocational Nurse | 4040 Selfridge Pkwy, Highland Hills, OH 44122-7021 | 2007-05-10 |
| 1861495236 | Angela M Bennett | Family Medicine | 11201 Shaker Blvd, Suite 102a, Cleveland, OH 44104 | 2005-05-31 |
| 1083152367 | Angela Bennett | Pediatrics | 500 Osborne Rd Ne, Suite 215, Fridley, MN 55432-2765 | 2017-02-07 |
| 1699129726 | Angela Bennett | Physical Therapy Assistant | 14809 W 95th St, Lenexa, KS 66215-5220 | 2016-04-14 |
| 1003255027 | Angela Lilly Bennett | Speech-Language Pathologist | 700b Cromwell Dr, Greenville, NC 27858-5852 | 2013-06-24 |
| Street Address |
3040 HOLCOMB BRIDGE RD |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-1377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306068317 | Patricia Ann Shively | Psychiatry & Neurology | 3040 Holcomb Bridge Rd, Ste L-2, Norcross, GA 30071 | 2007-05-02 |
| 1679119796 | Stephanie Davidson | Counselor | 3040 Holcomb Bridge Rd, Norcross, GA 30071-1377 | 2019-11-24 |
| 1497313357 | Tamisha Cox | Counselor | 3040 Holcomb Bridge Rd, Norcross, GA 30071-1377 | 2019-06-04 |
| 1992369474 | Willette Ellerbe | Social Worker | 3040 Holcomb Bridge Rd, Norcross, GA 30071-1377 | 2019-04-30 |
| 1982268603 | Megan Ciandra Ford | Counselor | 3040 Holcomb Bridge Rd, Norcross, GA 30071-1377 | 2019-04-29 |
| 1245894369 | Camille Latrice Wiggins | Counselor | 3040 Holcomb Bridge Rd, Norcross, GA 30071-1377 | 2019-04-24 |
| 1154984425 | Regina Nicole Mayo | Counselor | 3040 Holcomb Bridge Rd, Norcross, GA 30071-1377 | 2019-04-22 |
| 1528621877 | Janee Embry | Counselor | 3040 Holcomb Bridge Rd, Norcross, GA 30071-1377 | 2019-04-22 |
| 1013570522 | Della Robinson | Counselor | 3040 Holcomb Bridge Rd, Norcross, GA 30071-1377 | 2019-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021259 | Miracles Outreach International | Counselor | 6825 Jimmy Carter Blvd Ste 1570b, Norcross, GA 30071-1215 | 2020-10-20 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1629636527 | Glendia Rashaun Dunkin | Counselor | 3040 Holcomb Bridge Rd Ste J2, Norcross, GA 30071-1357 | 2019-06-05 |
| 1770067498 | Juanese Moore | Counselor | 6024 Old Town Pl, Norcross, GA 30093-5030 | 2018-09-18 |
| 1891201091 | Yewande Tomilola Adewole | Counselor | 3785 Elmside Village Ln, Norcross, GA 30092-4867 | 2017-12-26 |
| 1558893065 | Toni Buchanan | Counselor | 5825 Live Oak Pkwy Ste 2b, Norcross, GA 30093-1728 | 2017-04-03 |
| 1134673197 | Joi Bythwood | Counselor | 5785 Hammond Dr, Norcross, GA 30071-3407 | 2016-08-08 |
| 1447602750 | Patricia Christina Thompson | Counselor | 3450 Jones Mill Rd, Apt 315, Norcross, GA 30092-4370 | 2016-07-11 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1689044737 | Flora Jean Morris | Counselor | 4300 Jimmy Carter Blvd, 707, Norcross, GA 30093-5058 | 2015-10-01 |
| Find all providers in NORCROSS | ||||
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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.