HOLLY WINGATE (NPI# 1013571785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013571785 |
| Entity Type | Individual |
| Full Name | HOLLY WINGATE |
| Credential | LPC |
| Practice Address |
3316 Bemiss Rd Valdosta GA 31605-7014 |
| Practice Telephone | 2292627333 |
| Practice Fax Number | 2292627335 |
| Mailing Telephone | 2292627333 |
| Mailing Fax Number | 2292627335 |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC007199 | GA | Behavioral Health & Social Service Providers |
| Street Address |
3316 BEMISS RD |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605-7014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144599945 | Ashley Fink Shapiro | Social Worker | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2011-12-22 |
| 1144707480 | Ashley Shapiro, LLC | Social Worker | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2018-07-19 |
| 1437689122 | Justin Moore | Marriage & Family Therapist | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2017-06-14 |
| 1144654674 | Regina Katherine Wisenbaker | Social Worker | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2013-09-03 |
| 1114270436 | Paris C Shields | Social Worker | 3316 Bemiss Rd, Valdosta, GA 31605 | 2012-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484718 | Mckenna Kristine Bachmann | Specialist/Technologist | Moody Air Force Base, Valdosta, GA 31605 | 2020-07-14 |
| 1376056366 | Michael Brent Robinson Sr. | Contractor | 3863 Camellia Dr., Valdosta, GA 31605 | 2017-11-13 |
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1649683541 | Dustin Ross Kilby | Dentist | 2704 Oak Center Dr, Valdosta, GA 31605 | 2014-06-09 |
| 1659643286 | Brittnaey Nicole Freeman | Behavioral Analyst | 3982 Karaline Cir, Valdosta, GA 31605 | 2012-01-27 |
| 1780970335 | Laura Christen Cribbs | Counselor | 3312-d N Oak Street Ext, Valdosta, GA 31605 | 2011-06-22 |
| 1992090633 | Mary Katelyn Harper | Pharmacist | 3200 North Oak Street, Valdosta, GA 31605 | 2011-06-10 |
| 1053532937 | Robert Mark Pearson | Dentist | 3227 N. Oak St. Ext., Valdosta, GA 31605 | 2007-05-01 |
| 1083838650 | Am Sleep Diagnostics and Research Center | Clinic/Center | 3334 Greyatone Way, Valdosta, GA 31605 | 2007-04-12 |
| 1831236181 | William Ashley Moorman | Dentist | Advanced Dental Care, 3211 Wildwood Plantation Drive, Valdosta, GA 31605 | 2007-01-30 |
| Find all providers in zip 31605 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976138 | Serenity Counseling Services, LLC | Counselor | 3946 Warwick Dr, Valdosta, GA 31605-6109 | 2020-03-11 |
| 1760921415 | Chiquita Bryant | Counselor | 3120 N. Oak Street Ext, Suite C, Valdosta, GA 31602-1007 | 2017-02-14 |
| 1164969820 | Kyla Ward | Counselor | 3116 N Oak Street Ext, Valdosta, GA 31602-1007 | 2017-01-19 |
| 1578012258 | Clarissa Yolanda Alderman | Counselor | 4107 N Forrest Run Circle, Valdosta, GA 31601 | 2016-09-23 |
| 1184045767 | Chase Jackson Godwin | Counselor | 3903 Trotters Ridge Cir, Valdosta, GA 31605-4894 | 2013-12-26 |
| 1770826059 | Carole Nelson Lpc, PC | Counselor | 3350 Noble Way Ste B, Valdosta, GA 31605-7410 | 2013-04-04 |
| 1881977254 | Bina Gobler | Counselor | 2201 N Patterson St, Valdosta, GA 31602-2508 | 2011-09-22 |
| 1669755989 | Jacinta Y. Harvey | Counselor | 2200 N Patterson St Ste D, Valdosta, GA 31602-2573 | 2011-09-22 |
| 1154603470 | Better Mood Clinic S Ga LLC | Counselor | 2935 N Ashley St Bldg F, Valdosta, GA 31602-1777 | 2011-09-13 |
| 1225322613 | Andrea J. Ramirez | Counselor | 1301 Melody Ln Ste B, Valdosta, GA 31601 | 2011-06-03 |
| Find all providers in VALDOSTA | ||||
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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.