AMANDA OWEN (NPI# 1053854257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053854257 |
| Entity Type | Individual |
| Full Name | AMANDA OWEN |
| Credential | LMFT, LPC |
| Practice Address |
719 S Main St Moultrie GA 31768-5432 |
| Practice Telephone | 2294562022 |
| Practice Fax Number | 9125504909 |
| Mailing Telephone | 2294562022 |
| Mailing Fax Number | 9125504909 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC011318 | GA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
APC005700 | GA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFT001803 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 N Patterson St, Valdosta, GA 316022597 | 2292441707 | 2292441779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972061711 | Amanda Owen | Counselor | 15 Spinning Wheel Rd Ste 116, Hinsdale, IL 60521-2983 | 2019-03-12 |
| 1689052391 | Amanda Owen | Occupational Therapist | 114 Hayes Mill Rd # Rf, Atco, NJ 08004-2457 | 2015-05-13 |
| 1952801821 | Amanda Owen | Counselor | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2018-02-17 |
| 1023459641 | Amanda Owen | Physical Therapist | 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128-8311 | 2013-07-11 |
| 1518158286 | Amanda R. Owen | Nurse Practitioner | 1207 Woodland Dr, Elizabethtown, KY 42701-2709 | 2007-08-07 |
| 1497881304 | Amanda Owen | Counselor | 2625 N Josey Ln Ste 250, Carrollton, TX 75007-5538 | 2007-02-26 |
| Street Address |
719 S MAIN ST |
| City | MOULTRIE |
| State | GA |
| Zip Code | 31768-5432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356860720 | Elizabeth Olds Marston | Social Worker | 719 S Main St, Moultrie, GA 31768-5432 | 2017-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975452 | Zachary Schiffer | Specialist/Technologist | 3131 S Main Street, Moultrie, GA 31768 | 2020-02-27 |
| 1326697731 | Daisy Concierge Care | Nursing Care | 437 S. Morris Rd Lt 1, Moultrie, GA 31768 | 2019-09-09 |
| 1194208751 | Regina Mercer Ward | Nurse Practitioner | 1724 Villa Dr Sw, Moultrie, GA 31768 | 2018-09-10 |
| 1225473630 | Moultrie Orthodontics, P.C. | Clinic/Center | 12 Longleaf Office Park, Moultrie, GA 31768 | 2013-04-30 |
| 1497032239 | Freds Stores of Tennessee Inc | Pharmacy | 2601 South Main Street, Moultrie, GA 31768 | 2011-11-08 |
| 1821382672 | Colquitt Regional Ob/gyn, LLC | Obstetrics & Gynecology | 3 Sweet Bay Ct, Moultrie, GA 31768 | 2011-06-08 |
| 1568779809 | Shana Goodno | Nurse Practitioner | 207 31 St Ave Se, Moultrie, GA 31768 | 2010-09-08 |
| 1508177445 | Cherokee Rose Emergency Physicians | Emergency Medicine | 3131 South Main Street, Moultrie, GA 31768 | 2010-06-25 |
| 1023299963 | Hetal Patel | Counselor | 600 2nd St South East, Moultrie, GA 31768 | 2007-11-20 |
| 1720146756 | William C Byrd Inc | Assisted Living Facility | 498 5th Street Se, Moultrie, GA 31768 | 2006-12-04 |
| Find all providers in zip 31768 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091586 | C Yvonne Cox | Counselor | 600 1st St Se, Moultrie, GA 31768-5508 | 2005-08-29 |
| 1154971448 | April Michelle Cooper | Counselor | 615 N Main St, Moultrie, GA 31768-3319 | 2019-09-18 |
| 1134691496 | Family Recovery of Southwest Georgia | Counselor | 719 1st St Se, Moultrie, GA 31768-5509 | 2018-12-27 |
| 1881991081 | Dorothy Virginia Carpenter | Counselor | 600 2nd St Se, Moultrie, GA 31768-5514 | 2011-02-24 |
| 1790091148 | Dayna Ferguson Jones | Counselor | 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1780284513 | Hogue Counseling and Consulting Services, LLC | Counselor | 7861 Waterlace Dr, Fairburn, GA 30213-4648 | 2020-10-30 |
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.