MR. DEMARIO PHILLIPS (NPI# 1871833434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871833434 |
| Entity Type | Individual |
| Full Name | MR. DEMARIO PHILLIPS |
| Practice Address |
1755 The Exchange Se Suite 138 Atlanta GA 30339-7400 |
| Mailing Address |
1458 Indian Forest Ct Stone Mountain GA 30083-5436 |
| Practice Telephone | 6786124093 |
| Mailing Telephone | 6786124093 |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1755 THE EXCHANGE SE SUITE 138 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356492037 | James Edwin Stark | Psychologist | 1755 The Exchange Se, Suite 375, Atlanta, GA 30339-7400 | 2007-01-16 |
| 1407457328 | Tewann Tepper Lpc | Clinic/Center | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2020-11-06 |
| 1467068890 | Tewann Tepper Lpc | Clinic/Center | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2020-09-21 |
| 1316476658 | Gbadebo Samuel Akinlua | Durable Medical Equipment & Medical Supplies | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2017-06-09 |
| 1699218982 | Tewann Frank Tepper | Counselor | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2016-11-18 |
| 1467906016 | World Class Medical Services LLC | Ambulance | 1755 The Exchange Se, Suite 190, Atlanta, GA 30339-7400 | 2016-08-12 |
| 1811441587 | Robert Tucker | Ambulance | 1755 The Exchange Se, Suite 190, Atlanta, GA 30339-7400 | 2016-08-10 |
| 1083098065 | Cerita Willie | Specialist | 1755 The Exchange Se, Suite 330m, Atlanta, GA 30339-7400 | 2015-07-20 |
| 1255726568 | Expert In Mind | Behavioral Analyst | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2015-04-02 |
| 1770927576 | Allegiance Community Care, LLC | Community/Behavioral Health | 1755 The Exchange Se, Suite 330-m, Atlanta, GA 30339-7400 | 2013-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| 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 |
|---|---|---|---|---|
| 1063010247 | Jeffrey Heath Williamson | Counselor | 3350 Lansbury Village Dr Apt 2, Atlanta, GA 30341-5749 | 2020-10-11 |
| 1548868730 | Dynamic Change | Counselor | 2255 Cumberland Pkwy Se Ste 240, Atlanta, GA 30339-4515 | 2020-10-11 |
| 1447878616 | Githealthy Inc. | Counselor | 3553 Forrest Park Rd Se, Atlanta, GA 30354-3414 | 2020-07-14 |
| 1881212785 | Chardae N Barnes | Counselor | 2470 Cheshire Bridge Rd Ne Apt 1422, Atlanta, GA 30324-4041 | 2020-07-08 |
| 1336769470 | Tavonda Hudson | Counselor | 411 Luckie St Nw Unit 302, Atlanta, GA 30313-2058 | 2020-04-18 |
| 1023647633 | Luciana Sacramento Aguiar | Counselor | 1230 Peachtree St Ne Ste 1904, Atlanta, GA 30309-3574 | 2020-04-06 |
| 1083240782 | Humanicurity Inc. | Counselor | 1048 Flat Shoals Rd Apt 303, Atlanta, GA 30349-7336 | 2020-03-14 |
| 1831730522 | Morgan Clary | Counselor | 2614 Clifton Downs Trl Se, Atlanta, GA 30316-4058 | 2019-10-03 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1447725775 | Lauren Derossette | Counselor | 1850 Cotillion Dr Unit 4308, Atlanta, GA 30338-7904 | 2018-10-13 |
| Find all providers in ATLANTA | ||||
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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.