DR. CHARLES MOYER MENDENHALL III (NPI# 1902957525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902957525 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MOYER MENDENHALL III |
| Credential | PH.D. |
| Practice Address |
1814 Clairmont Rd Decatur GA 30033-3405 |
| Mailing Address |
320 Inman Dr Decatur GA 30030-3835 |
| Practice Telephone | 4046361457 |
| Practice Fax Number | 4046367449 |
| Mailing Telephone | 4043778256 |
| Mailing Fax Number | 4046367449 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT000948 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639152085 | Charles M Mendenhall | Radiology | 425 3rd Ave, Ste 50, Albany, GA 31701-1955 | 2005-11-21 |
| 1124113196 | Charles L Mendenhall | Internal Medicine | 3200 Vine St, Cincinnati, OH 45220-2213 | 2006-10-04 |
| Street Address |
1814 CLAIRMONT RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427047125 | Carol B Pitts | Counselor | 1814 Clairmont Rd, Decatur, GA 30033-3405 | 2005-10-17 |
| 1114565892 | Stephanie Yates-anyabwile | Marriage & Family Therapist | 1814 Clairmont Rd, Decatur, GA 30033-3405 | 2019-12-13 |
| 1649818410 | Peyton Waggener | Counselor | 1814 Clairmont Rd, Decatur, GA 30033-3405 | 2019-12-12 |
| 1780226019 | Annmarie Lehrer | Counselor | 1814 Clairmont Rd, Decatur, GA 30033-3405 | 2019-10-08 |
| 1013567486 | Jacob Dreiling | Counselor | 1814 Clairmont Rd, Decatur, GA 30033-3405 | 2019-09-17 |
| 1437707379 | Katharine Smith | Counselor | 1814 Clairmont Rd, Decatur, GA 30033-3405 | 2019-09-03 |
| 1245887462 | Jennifer Marie Moore | Counselor | 1814 Clairmont Rd, Decatur, GA 30033-3405 | 2019-08-22 |
| 1023675295 | Jennifer Ann Clark | Social Worker | 1814 Clairmont Rd, Decatur, GA 30033-3405 | 2019-05-23 |
| 1801357223 | Janay Whittaker | Counselor | 1814 Clairmont Rd, Decatur, GA 30033-3405 | 2019-03-28 |
| 1467929992 | Erin Renner | Counselor | 1814 Clairmont Rd, Decatur, GA 30033-3405 | 2018-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| 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 |
|---|---|---|---|---|
| 1053844076 | Kendall Louden | Marriage & Family Therapist | 3427 N Druid Hills Rd Apt D, Decatur, GA 30033-3756 | 2017-04-06 |
| 1982085080 | Jeffery Moffitt | Marriage & Family Therapist | 1808 N Colorado St, Decatur, TX 76234-3007 | 2015-06-15 |
| 1679906838 | Makungu Mshairi Akinyela | Marriage & Family Therapist | 4286 Memorial Dr Ste D, Decatur, GA 30032-1221 | 2013-08-12 |
| 1366675167 | Lauren Henderson Strine | Marriage & Family Therapist | 1240 Clairmont Rd Ste 206, Decatur, GA 30030-1254 | 2009-08-26 |
| 1184867095 | Millicent Brooks | Marriage & Family Therapist | 209a Swanton Way, Decatur, GA 30030-3271 | 2009-04-08 |
| 1871799254 | Jaime Cuff Filler | Marriage & Family Therapist | 315 W Ponce De Leon Ave Ste 370, Decatur, GA 30030-2476 | 2007-06-22 |
| 1881744597 | Crossings Counseling Center Inc | Marriage & Family Therapist | 209 Swanton Way # A, Decatur, GA 30030-3271 | 2007-01-12 |
| 1578628988 | James Bernard Kynes Sr. | Marriage & Family Therapist | 209 Swanton Way, # A, Decatur, GA 30030-3271 | 2006-12-26 |
| 1376642470 | Gudrun Birgitta Armentrout | Marriage & Family Therapist | 247 West Prairie, Catholics Charities, Decatur, IL 62523 | 2006-09-22 |
| 1285740266 | Erika Van Meir | Marriage & Family Therapist | 315 W Ponce De Leon Ave Ste 565, Decatur, GA 30030-2486 | 2006-08-22 |
| Find all providers in DECATUR | ||||
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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.