STEPHEN W SORRELLS (NPI# 1790119881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790119881 |
| Entity Type | Individual |
| Full Name | STEPHEN W SORRELLS |
| Credential | LPC |
| Practice Address |
915 Interstate Ridge Dr Gainesville GA 30501-7076 |
| Mailing Address |
4331 Thurmond Tanner Pkwy Flowery Branch GA 30542-2829 |
| Practice Telephone | 6782072900 |
| Mailing Telephone | 6785135700 |
| Mailing Fax Number | 6785135836 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC004200 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE NUMBER | LPC004200 | 01 |
| Street Address |
915 INTERSTATE RIDGE DR |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-7076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423655 | Renee Lee-barbacone | Social Worker | 915 Interstate Ridge Dr, Suite G, Gainesville, GA 30501-7076 | 2006-03-29 |
| 1740630318 | Sandra L Ray | Counselor | 915 Interstate Ridge Dr, Suite G, Gainesville, GA 30501-7076 | 2016-06-15 |
| 1912361312 | Wendy Ticas | Social Worker | 915 Interstate Ridge Dr, Suite C, Gainesville, GA 30501-7076 | 2016-04-12 |
| 1912393158 | Deborah L Fujan-pinney | Counselor | 915 Interstate Ridge Dr, G, Gainesville, GA 30501-7076 | 2015-04-14 |
| 1083003974 | Marion Goodloe Smyser | Social Worker | 915 Interstate Ridge Dr, Gainesville, GA 30501-7076 | 2015-01-14 |
| 1689084295 | Patricia M Smith | Counselor | 915 Interstate Ridge Dr, Gainesville, GA 30501-7076 | 2014-05-05 |
| 1679852438 | Phyllis Birt | Licensed Practical Nurse | 915 Interstate Ridge Dr, Suite G, Gainesville, GA 30501-7076 | 2011-08-11 |
| 1497983605 | Southern Home Care Services, Inc. | Home Health | 915 Interstate Ridge Dr, Suite A, Gainesville, GA 30501-7076 | 2009-06-25 |
| 1740423227 | Curtis Ben Savage | Counselor | 915 Interstate Ridge Dr, Suite G, Gainesville, GA 30501-7076 | 2009-04-13 |
| 1396988937 | Janet Liles | Counselor | 915 Interstate Ridge Dr, Suite G, Gainesville, GA 30501-7076 | 2009-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477113140 | Catlin Cade Bauer | Counselor | 4421 Nw 39th Ave Ste 3, Gainesville, FL 32606-7221 | 2019-06-16 |
| 1861050247 | Timothy Tackett | Counselor | 4300 Sw 13th St # 2, Gainesville, FL 32608-4006 | 2019-05-31 |
| 1134785934 | Connecting The Dots Services, LLC | Counselor | 901 Nw 8th Ave Ste C18, Gainesville, FL 32601-5089 | 2019-05-16 |
| 1922564012 | Charmayne Latriece Jackson | Counselor | 2601 Nw 23rd Blvd Apt 243, Gainesville, FL 32605-5958 | 2019-02-14 |
| 1407343932 | Michelle Lynn Tanner | Counselor | 7450 Heritage Village Plz Unit 101, Gainesville, VA 20155-3091 | 2018-04-19 |
| 1770093320 | Daniel Mcpherson | Counselor | 4703 Nw 53rd Ave., Suite A-2, Gainesville, FL 32653 | 2017-10-10 |
| 1255860193 | Debra Lynn Weiss Hatfield | Counselor | 2240 Nw 40th Ter Ste A, Gainesville, FL 32605-3590 | 2017-06-05 |
| 1558807701 | Tamara Mckenzie | Counselor | 4300 Sw13th St, Gainesville, FL 32608-4006 | 2017-01-12 |
| 1245776616 | Izerial Toles | Counselor | 324 S Lindsay St, Gainesville, TX 76240-4834 | 2017-01-10 |
| 1306392352 | Brooke Schultz | Counselor | 4400 Sw 13th Street, Gainesville, FL 32608 | 2016-08-30 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.