BRITTANY KETCHUP HALL (NPI# 1881112217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881112217 |
| Entity Type | Individual |
| Full Name | BRITTANY KETCHUP HALL |
| Practice Address |
2750 Old Alabama Rd Unit 200 Alpharetta GA 30022 |
| Mailing Address |
1925 Monroe Dr Ne Apt 1317 Atlanta GA 30324-7817 |
| Practice Telephone | 6788935300 |
| Mailing Telephone | 6784518970 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
APC006917 | GA | Behavioral Health & Social Service Providers |
| N | 171W00000X | Contractor | Other Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 7068 | 05 | |
| CA | 6758 | 05 | |
| CA | 7420 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1925 Monroe Dr Ne Apt 1703, Atlanta, GA 30324 | 6784518970 |
| Street Address |
2750 OLD ALABAMA RD UNIT 200 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790344307 | Angela Nikole Gonzalez Perez | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2019-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| 1356734479 | Bradley Hepler | Dentist | 11190 Haynes Bridge Rd, Alpharetta, GA 30022 | 2015-03-13 |
| Find all providers in zip 30022 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1164029559 | Bridget Anne Spicer | Counselor | 8945 Powderdam Dr, Alpharetta, GA 30022-5453 | 2020-10-08 |
| 1700498979 | Outpatient Behavioral Health, LLC | Counselor | 5755 N Point Pkwy Ste 256, Alpharetta, GA 30022-1174 | 2020-08-19 |
| 1760007728 | Jessalyn Palmer | Counselor | 1010 Bay Pointe Xing, Alpharetta, GA 30005-6955 | 2020-06-15 |
| 1174168488 | Julie Conrad | Counselor | 12705 Century Dr Unit D, Alpharetta, GA 30009-8378 | 2019-11-11 |
| 1720634603 | Angela U. Seymour, LLC | Counselor | 11080 Old Roswell Rd Ste 203, Alpharetta, GA 30009-4759 | 2019-08-15 |
| 1528620051 | Bright Path Therapy and Wellness Center | Counselor | 1071 Cambridge Sq Ste A, Alpharetta, GA 30009-1843 | 2019-07-04 |
| 1124590112 | Natasha Dedijer-turner | Counselor | 3740 Oakland Chase, Alpharetta, GA 30004-5918 | 2019-01-02 |
| 1497230999 | Mark Jason Sherling | Counselor | 201 Vaughn Dr, Alpharetta, GA 30009-2333 | 2018-10-01 |
| 1023507126 | Rabia Osman Khan | Counselor | 1065 Winthrope Park Dr, Alpharetta, GA 30009-2385 | 2018-05-03 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30022 |
Please comment or provide details below to improve the information on BRITTANY KETCHUP HALL.
| 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.