JENNIFER HAINES-PRUITT (NPI# 1962948687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962948687 |
| Entity Type | Individual |
| Full Name | JENNIFER HAINES-PRUITT |
| Credential | LPC |
| Practice Address |
561 Thornton Rd Ste R Lithia Springs GA 30122-1558 |
| Mailing Address |
5463 Stoneybrook Ct Se Mableton GA 30126-5625 |
| Practice Telephone | 6786536314 |
| Mailing Telephone | 9376815630 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2018-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC007776 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1174512966 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 175 Emery Hwy, Macon, GA 312173692 | 4788037600 | |
| 5600 Stonewall Tell Rd, College Park, GA 303492418 | 4046658700 |
| Street Address |
561 THORNTON RD STE R |
| City | LITHIA SPRINGS |
| State | GA |
| Zip Code | 30122-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992838841 | Deanna Smith | Social Worker | 561 Thornton Rd Ste R, Lithia Springs, GA 30122-1558 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043798838 | Vivian Adu-aboagye | Registered Nurse | 7603 Forest Glen Way, Lithia Springs, GA 30122 | 2018-08-02 |
| 1588150510 | Vanessa Levet Hayes | Driver | 2100 Mesa Valleyway Apt1507, Lithiasprings, GA 30122 | 2018-07-02 |
| 1699279141 | Ariel Shell | Massage Therapist | 2060 Rolling Rock Ct, Lithia Springs, GA 30122 | 2018-03-20 |
| 1013323872 | First Choice Supportive Services, Incorporated | Personal Emergency Response Attendant | 3423 Summerlin Parkway, Lithia Springs, GA 30122 | 2014-07-01 |
| 1245659275 | Thumbs-up Transportation | Non-emergency Medical Transport (VAN) | 1517 Fenmore St., Lithia Springs, GA 30122 | 2014-04-07 |
| 1205262789 | Diana C Harris | Counselor | 561 Thornton Rd. Unit R, Lithia Springs, GA 30122 | 2013-09-17 |
| 1497910475 | Valissa Ann Dixon | Counselor | 6852 Florence Drive, Lithia Springs, GA 30122 | 2008-07-18 |
| 1548473267 | Lawrence Vision, Inc. | Ophthalmology | 939 Bob Arnold Blvd., Suite G, Lithia Springs, GA 30122 | 2007-05-08 |
| 1790903342 | Nahid Bahrami | Dentist | 524 Thornton Rd., Lithia Springs, GA 30122 | 2007-04-20 |
| 1831231828 | Harley Alan Belinky | Dentist | 1515 Westfork Dr., Lithia Springs, GA 30122 | 2007-02-13 |
| Find all providers in zip 30122 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447182 | Otis Franflyn Johnson | Counselor | 1668 Olde Oak Dr, Lithia Springs, GA 30122-2736 | 2018-11-27 |
| 1386182996 | Matthew Lawrance Dames | Counselor | 680 Thornton Way, Lithia Springs, GA 30122-2600 | 2017-02-02 |
| 1508261231 | Christie Phillips | Counselor | 3171 Skyview Dr, Lithia Springs, GA 30122-2361 | 2014-10-23 |
| 1023425105 | Dadron Deon Wesley | Counselor | 2000 Oakleaf Ln, Lithia Springs, GA 30122-2927 | 2014-07-21 |
| 1891132486 | Family and Youth Intervention Specialist, Inc. | Counselor | 1206 Silver Moon Trl, Lithia Springs, GA 30122-3969 | 2013-05-23 |
| 1790207181 | Joseph Osondu | Counselor | 1206 Silver Moon Trl, Lithia Springs, GA 30122 | 2017-07-07 |
| 1720509235 | Champion Behavioral Health Services | Counselor | 3171 Skyview Dr, Lithia Springs, GA 30122-2361 | 2017-07-06 |
| 1194874727 | Judy Wells Schneider | Counselor | 561 Thornton Rd, Suite R, Lithia Springs, GA 30122-1558 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780859 | Jennifer Lynn Fedderick | Counselor | 459 Thrasher Rd, Plains, GA 31780-5310 | 2020-11-04 |
| 1376144766 | Arlicia Lagene Johnson | Counselor | 220 Osmanthus Way, Canton, GA 30114-7197 | 2020-11-03 |
| 1558962027 | Evan Kauper | Counselor | 2002 Smith Dr Nw, Kennesaw, GA 30144-1851 | 2020-11-02 |
| 1801496864 | Poonam A Patel | Counselor | 2916 Clairmont Rd Ne Apt 2413, Brookhaven, GA 30329-4476 | 2020-10-29 |
| 1740880061 | Pledger Behavior Consulting, LLC | Counselor | 7563 Highway 337, Summerville, GA 30747-6101 | 2020-10-27 |
| 1801495411 | Bianca Tiara Abrams | Counselor | 916 Glenwood Park Dr Se, Atlanta, GA 30316-6845 | 2020-10-23 |
| 1780283713 | Stacey Dougan | Counselor | 696 Mountain Dr Ne, Atlanta, GA 30342-3904 | 2020-10-21 |
| 1619576865 | Therapy Pond, LLC | Counselor | 1262 Concord Rd Se Ste 200, Smyrna, GA 30080-5307 | 2020-10-20 |
| 1164021259 | Miracles Outreach International | Counselor | 6825 Jimmy Carter Blvd Ste 1570b, Norcross, GA 30071-1215 | 2020-10-20 |
| 1699374025 | Alexxis Trimmings | Counselor | 205 W Montgomery Xrd Apt 106, Savannah, GA 31406-7121 | 2020-10-17 |
| Find all providers with the same taxonomy | ||||
| City | LITHIA SPRINGS |
| Zip Code | 30122 |
Please comment or provide details below to improve the information on JENNIFER HAINES-PRUITT.
| 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.