MRS. ANGELLICA MARIE WENTWORTH (NPI# 1831682020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831682020 |
| Entity Type | Individual |
| Full Name | MRS. ANGELLICA MARIE WENTWORTH |
| Practice Address |
4146 Highway 278 Ne Covington GA 30014-2494 |
| Mailing Address |
980 Walther Blvd Apt 2714 Lawrenceville GA 30043-8437 |
| Practice Telephone | 7707873788 |
| Mailing Telephone | 4042850745 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
4146 HIGHWAY 278 NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508051178 | Asfc Outreach Therapeutic Counseling Services, LLC | Case Management | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2007-09-07 |
| 1780171744 | Debra Faye Edwards | Counselor | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2018-04-16 |
| 1326543604 | Latoria Hairston | Counselor | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2018-03-28 |
| 1831621580 | Camelia Hicks | Nurse Practitioner | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2017-03-31 |
| 1306262274 | Shondalette Chatfield | Community/Behavioral Health | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2014-03-14 |
| 1205252897 | Deborah Miller | Counselor | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2014-03-06 |
| 1164735247 | Kimberly A. Adams | Psychologist | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2010-07-19 |
| 1811147333 | Marcus Duane Linen | Counselor | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2008-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770105587 | Atk Marriage and Family Coaching, LLC | Marriage & Family Therapist | 8218 Hazelbrand Rd Ne Ste A, Covington, GA 30014-1516 | 2020-05-14 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1083891204 | Michelle Mong | Marriage & Family Therapist | 27121 174th Pl Se Ste 101, Covington, WA 98042-4939 | 2008-01-30 |
| 1982769139 | Phyllis A Williams | Marriage & Family Therapist | 26025 162nd Ave Se, Covington, WA 98042-8275 | 2006-12-27 |
| 1740205319 | Carolyn E Burns | Marriage & Family Therapist | 215 N Vermont St, Covington, LA 70433 | 2006-07-13 |
| 1851940860 | Brett Busby | Marriage & Family Therapist | 71338 Highway 21, Covington, LA 70433-7162 | 2019-09-11 |
| 1952950024 | Elizabeth Renee Kennedy | Marriage & Family Therapist | 71338 Highway 21, Covington, LA 70433-7162 | 2019-09-10 |
| 1679936371 | Grace De Souza | Marriage & Family Therapist | 60 Louis Prima Dr Ste A, Covington, LA 70433-5903 | 2016-03-30 |
| 1477930550 | Danielle Crotty | Marriage & Family Therapist | 513 Madison Ave, Covington, KY 41011-1562 | 2015-04-28 |
| 1679915789 | Perry Sage | Marriage & Family Therapist | 27121 174th Pl Se Ste 101, Covington, WA 98042-4939 | 2013-07-18 |
| Find all providers in COVINGTON | ||||
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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.