LEWIS PONZO


Address: 315 W Ponce De Leon Ave, Decatur, GA 30030-2400
Phone: 7706096976

LEWIS PONZO (NPI# 1821621533) 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) 1821621533
Entity Type Individual
Full Name LEWIS PONZO
Practice Address 315 W Ponce De Leon Ave
Decatur
GA 30030-2400
Mailing Address 4221 Medlock Mill Dr
Snellville
GA 30039-2720
Practice Telephone 7706096976
Enumeration Date 2020-02-20
Last Update Date 2020-02-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 01251982 05

Office Location

Street Address 315 W PONCE DE LEON AVE
City DECATUR
State GA
Zip Code 30030-2400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902878853 Sharman Dyan Colosetti Social Worker 315 W Ponce De Leon Ave, Suite 840, Decatur, GA 30030-2400 2006-02-05
1063045748 Jacqueline Frances Conway Counselor 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 2020-02-20
1114429412 Revere Counseling and Care Management LLC Social Worker 315 W Ponce De Leon Ave, Suite 370, Decatur, GA 30030 2018-03-02
1689182263 Stephanie Lynn Roach Social Worker 315 W Ponce De Leon Ave, Suite 370, Decatur, GA 30033 2018-01-17
1659804300 Authentic Living Counselor 315 W Ponce De Leon Ave, Suite 835, Decatur, GA 30030-2400 2017-04-10
1205379773 Katie Leikam Social Worker 315 W Ponce De Leon Ave, Suite 847, Decatur, GA 30030-2400 2016-11-30
1144680562 Sarra Everett Counselor 315 W Ponce De Leon Ave, Suit 440, Decatur, GA 30030-2400 2016-02-26
1821495987 Byers Psychological Services LLC Psychologist 315 W Ponce De Leon Ave, Suite 1051, Decatur, GA 30030-2400 2014-12-04
1205182151 Rainbow Counseling & Consultation Services LLC Psychologist 315 W Ponce De Leon Ave, Decatur Court Ste 552, Decatur, GA 30030-2400 2012-07-30
1932461563 National Youth Advocate Program Community/Behavioral Health 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 2012-06-11
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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
1417587478 Elizabeth Heffron Acupuncturist 619b East College Avenue, Decatur, GA 30030 2020-01-17
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 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285244293 Agape Change Family Counseling & Consultation Services LLC Counselor 2128 Willamette Way, Decatur, GA 30032-6036 2020-08-04
1366082356 Morgan Tudor Counselor 433 W Pershing Rd, Decatur, IL 62526-3238 2020-01-08
1083171896 William Dale Cottrell II Counselor 315 W Ponce De Leon Ave Ste 1055, Decatur, GA 30030-2412 2019-02-28
1376000679 Monica Dawn Ross Counselor 106 Lee St. Ne, Suite C, Decatur, AL 35601 2019-02-23
1528538048 Beatrice Irma Richie Counselor 117glen Hollow Circle Apartment #4, Decatur, GA 30034-3003 2018-11-27
1912473711 Kameshia Hawkins Counselor 3011 Rainbow Dr Ste B, Decatur, GA 30034-1643 2018-10-18
1467942706 Marla Singleton Counselor 235 E Ponce De Leon Ave Ste 108, Decatur, GA 30030-3412 2018-05-11
1306348321 Maureen P Nolan Counselor 315 W Ponce De Leon Ave Ste 540, Decatur, GA 30030-2448 2018-03-06
1619493806 Camille Hankins Counselor 2545 Lawrenceville Hwy Ste 150, Decatur, GA 30033-3240 2017-08-18
1609390319 Subrena Ann Glenn Counselor 3745 Brookside Pkwy, Decatur, GA 30034-5714 2017-08-03
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Competitor

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City DECATUR
Zip Code 30030

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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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