Provider Demographics
NPI:1548930571
Name:CARESTOP LLC
Entity type:Organization
Organization Name:CARESTOP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRILL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C, PMHNP-BC
Authorized Official - Phone:478-227-4051
Mailing Address - Street 1:PO BOX 2254
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:GA
Mailing Address - Zip Code:31008-2254
Mailing Address - Country:US
Mailing Address - Phone:478-765-2888
Mailing Address - Fax:
Practice Address - Street 1:335 MARGIE DR STE F
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-8908
Practice Address - Country:US
Practice Address - Phone:478-227-4051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty