RICHARD WADE CONNELL (NPI# 1962037697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962037697 |
| Entity Type | Individual |
| Full Name | RICHARD WADE CONNELL |
| Credential | CAS |
| Practice Address |
822 Chickamauga Ave Rossville GA 30741-1407 |
| Practice Telephone | 7068616458 |
| Practice Fax Number | 7068666277 |
| Mailing Telephone | 7068616458 |
| Mailing Fax Number | 7068666277 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265620280 | Richard A Connell | Acupuncturist | 98 St Rd 150 Venado Plaza Ste 5, Hc74 Box 24813, El Prado, NM 87529 | 2007-10-04 |
| 1427026640 | Richard Connell | Psychologist | 207 E 2nd St, Lampasas, TX 76550-2804 | 2006-03-14 |
| Street Address |
822 CHICKAMAUGA AVE |
| City | ROSSVILLE |
| State | GA |
| Zip Code | 30741-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669572335 | Neptune Clinical Group, Inc. | Clinic/Center | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2006-09-23 |
| 1356976088 | Courtney Connell | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-03 |
| 1003440868 | Dana Gae Johnson | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1760016539 | Snezana Brady Johnson | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1992339774 | Elizabeth M Galloway | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1679107437 | Donna Jean Fincher | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1316571169 | Melina Lovelady Wooten | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1598399511 | John D Bruce Jr. | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-02-28 |
| 1386278398 | Heather Voss | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-02-28 |
| 1366076382 | Maria S Alvarado | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881084549 | Bi-lo Pharmacy | Pharmacy | 820 Misson Ridge Road, Rossville, GA 30741 | 2015-02-02 |
| 1013194943 | Kathleen Marie Powell | Physical Therapist | 1425 Mc Farland Ave, Rossville, GA 30741 | 2008-01-22 |
| 1871668020 | Jerry Vance Grimmitt | Pharmacist | 785 Chickamauga Av, Longley Pharmacy, Rossville, GA 30741 | 2006-11-22 |
| 1831163898 | Jose R Justiniano-ayala | Family Medicine | 205 Jenkins Rd, Rossville, GA 30741 | 2006-02-15 |
| 1235389230 | Michael Robert Mccoy | Internal Medicine | 205 Jenkins Rd, Rossville, GA 30741 | 2008-09-25 |
| 1255512182 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 205 Jenkins Rd, Rossville, GA 30741 | 2007-11-20 |
| 1962677633 | Lookout Mountain Community Service | Community/Behavioral Health | 405 Glenn Wade Dr, Rossville, GA 30741-1176 | 2008-04-24 |
| 1033142930 | Robert Alan Stultz | Physician Assistant | 118 Howard St, Rossville, GA 30741-1314 | 2006-07-07 |
| 1902950462 | Leisha Harrell Espy | Chiropractor | 100 E Gordon Ave, Rossville, GA 30741-1318 | 2007-01-22 |
| 1073687596 | Rocky Top Pharmacy Inc | Pharmacy | 785 Chickamauga Ave, Rossville, GA 30741-1404 | 2006-11-17 |
| Find all providers in zip 30741 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976088 | Courtney Connell | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-03 |
| 1003440868 | Dana Gae Johnson | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1760016539 | Snezana Brady Johnson | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1992339774 | Elizabeth M Galloway | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1679107437 | Donna Jean Fincher | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1316571169 | Melina Lovelady Wooten | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-03-02 |
| 1598399511 | John D Bruce Jr. | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-02-28 |
| 1386278398 | Heather Voss | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-02-28 |
| 1366076382 | Maria S Alvarado | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-02-28 |
| 1356974018 | Douglas Stephen Davis Jr. | Counselor | 822 Chickamauga Ave, Rossville, GA 30741-1407 | 2020-02-20 |
| Find all providers in ROSSVILLE | ||||
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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.