SHELLY RENEE CUMBERLEDGE (NPI# 1831340041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831340041 |
| Entity Type | Individual |
| Full Name | SHELLY RENEE CUMBERLEDGE |
| Credential | CPRSS |
| Practice Address |
404 E. Pine St Marietta OK 73448 |
| Mailing Address |
404 E Pine St Marietta OK 73448-4446 |
| Practice Telephone | 5802763323 |
| Practice Fax Number | 5802763324 |
| Mailing Telephone | 5802763323 |
| Mailing Fax Number | 5802763324 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| 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 |
| Street Address |
404 E. PINE ST |
| City | MARIETTA |
| State | OK |
| Zip Code | 73448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992958805 | Christi Lynn Hallum | Counselor | 200 Wanda Street, Marietta, OK 73448 | 2008-10-23 |
| 1760528970 | Mental Health Services of Southern Oklahoma | Case Management | 200 Wanda St, Marietta, OK 73448 | 2007-01-29 |
| 1083811871 | Doris Jean Petty | Registered Nurse | 200 Wanda, Marietta, OK 73448 | 2007-06-27 |
| 1295871499 | Mental Health Services of Southern Oklahoma | Clinic/Center | 200 Wanda St, Marietta, OK 73448 | 2007-01-29 |
| 1114093002 | Charles Reid Schnorrenberg | Pharmacist | 300 S Highway 77, Marietta, OK 73448 | 2006-11-24 |
| 1588866107 | Pamela Rae Lynn | Counselor | 200 Wanda, Marietta, OK 73448-0506 | 2007-06-05 |
| 1912944646 | Love County Health Center | General Acute Care Hospital | 300 Wanda Steet, Marietta, OK 73448-1200 | 2006-06-01 |
| 1649221557 | Love County Health Center | General Acute Care Hospital | 300 Wanda Street, Marietta, OK 73448-1200 | 2006-05-15 |
| 1134179641 | Tad Alan Hall | Physician Assistant | 300 Wanda St, Marietta, OK 73448-1200 | 2006-05-12 |
| 1184080145 | Maria Maynard | Physician Assistant | 300 Wanda St, Marietta, OK 73448-1200 | 2016-01-06 |
| Find all providers in zip 73448 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352769 | Karen Genell Mccain | Counselor | 3535 Roswell Rd Ste 12, Marietta, GA 30062-8827 | 2020-10-08 |
| 1811502362 | Melanie Jerez-sherrill | Counselor | 3225 Shallowford Rd Ste 320, Marietta, GA 30062-1299 | 2020-09-11 |
| 1417561119 | United Metro Boys Academy LLC | Counselor | 720 Dunleith Ct Sw, Marietta, GA 30008-3718 | 2020-09-01 |
| 1255960662 | Imani Sade Hines | Counselor | 2130 Kingston Ct Se Ste E, Marietta, GA 30067-8952 | 2020-04-07 |
| 1659905594 | Jennifer Lynn Pope Romano | Counselor | 1640 Powers Ferry Rd Se Ste 30021, Marietta, GA 30067-5491 | 2020-03-01 |
| 1083250245 | Lovewell Collective | Counselor | 1507 Hurt Rd Sw, Marietta, GA 30008-5815 | 2019-11-22 |
| 1649812637 | Healing Grace Counseling Services | Counselor | 1900 The Exchange, Suite 400, Marietta, GA 30062-3006 | 2019-10-11 |
| 1427604107 | Patricia Postanowicz | Counselor | 1664 Lightfoot Cir, Marietta, GA 30062-2091 | 2019-08-17 |
| 1083267850 | Patricia Marie Butterworth | Counselor | 1446 Brookcliff Dr, Marietta, GA 30062-4836 | 2019-07-22 |
| 1043876212 | Angela Hammond | Counselor | 610 Shay Dr Sw, Marietta, GA 30060-5313 | 2019-05-14 |
| Find all providers in MARIETTA | ||||
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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.