HEATHER WOOLLEY (NPI# 1063954584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063954584 |
| Entity Type | Individual |
| Full Name | HEATHER WOOLLEY |
| Credential | NCC |
| Practice Address |
2814 S Us Highway 1 Suite D4 Fort Pierce FL 34982-8120 |
| Mailing Address |
2814 South U.S. Hwy Suite D4 Fort Pierce FL 34982 |
| Practice Telephone | 7724894726 |
| Mailing Telephone | 7724894726 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | TAX I.D. | 65-0789152 | 01 |
| Street Address |
2814 S US HIGHWAY 1 SUITE D4 |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34982-8120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225046550 | Suncoast Mental Health Center, Inc. | Clinic/Center | 2814 S Us Highway 1, Suite D-4, Fort Pierce, FL 34982-8120 | 2006-08-03 |
| 1407380553 | Tangela Phillips | Counselor | 2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982-8120 | 2017-04-16 |
| 1467993238 | Jasmine Brainerd | Counselor | 2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982-8120 | 2017-03-14 |
| 1891232427 | Lourdes Wilson | Counselor | 2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982-8120 | 2017-01-20 |
| 1295277879 | Patricia Liceth Auzenne | Counselor | 2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982-8120 | 2016-11-14 |
| 1255781621 | Latashia Golden | Social Worker | 2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982-8120 | 2016-06-16 |
| 1588026363 | Nancy Delva Miller | Marriage & Family Therapist | 2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982-8120 | 2016-03-22 |
| 1780056515 | La-dricka Chiree Goodman | Case Manager/Care Coordinator | 2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982-8120 | 2015-10-20 |
| 1104297464 | Jennifer De La Rosa | Counselor | 2814 S Us Highway 1, D4, Fort Pierce, FL 34982-8120 | 2015-10-13 |
| 1639558471 | Donna Wallace | Counselor | 2814 S Us Highway 1, Suite D-4, Fort Pierce, FL 34982-8120 | 2015-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932759305 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Employee Health and Wellness, 2200 Virginia Avenue, Fort Pierce, FL 34982 | 2019-09-17 |
| 1548732159 | Regenerative Medical Group Inc | Family Medicine | 2624 S, Us1, Fort Pierce, FL 34982 | 2018-12-20 |
| 1609352905 | Shapiro Family Dentistry of Fort Pierce Pa | Dentist | Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 | 2018-07-19 |
| 1821585514 | Coralis Ivette Reyes | Social Worker | 2814 South U.S. Hwy1, Suite D4, Fort Pierce, FL 34982 | 2018-04-18 |
| 1720509441 | Quality Care Holdings Inc | Non-emergency Medical Transport (VAN) | 3247 Oleander Ave Suite A5, Fort Pierce, FL 34982 | 2017-07-03 |
| 1770013377 | Kira Patricia Omeally | Assistant Behavior Analyst | 2106 Linda Sue Circle #105, Fort Pierce, FL 34982 | 2017-06-15 |
| 1124557483 | Linda S Colebrooke | Marriage & Family Therapist | 2814 South U.S. Hwy 1, Suite D4, Fort Pierce, FL 34982 | 2017-06-08 |
| 1619404845 | Angili Hamilton | Social Worker | 2814 South .s. Hwy 1 Suite D4, Fort. Pierce, FL 34982 | 2017-05-18 |
| 1881146652 | Tasha Daley | Community Health Worker | 3215 S Hwy 1 Suite F, Fort Pierce, FL 34982 | 2016-10-27 |
| 1952792764 | Casper Lockwood | Case Manager/Care Coordinator | 2814 South U.s Hwsy 1, Suite D4, Fort Pierce, FL 34982 | 2015-02-16 |
| Find all providers in zip 34982 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024232 | Carolyn Corrina Bethel | Counselor | 2222 Colonial Rd Ste 1002222, Fort Pierce, FL 34950-5309 | 2020-05-10 |
| 1881259323 | Brendalin A Bacon | Counselor | 4713 El Nueva Ave, Fort Pierce, FL 34946-1035 | 2019-05-09 |
| 1114419751 | Ken N Brown | Counselor | 130 S Indian River Dr Ste 301, Fort Pierce, FL 34950-4353 | 2018-05-30 |
| 1881102051 | Toni Marlene Lopez | Counselor | 5202 Melissa Ln, Fort Pierce, FL 34946-9126 | 2018-01-22 |
| 1770930042 | Lucresha Reeves | Counselor | 6804 Santa Clara Blvd, Fort Pierce, FL 34951-1293 | 2016-05-17 |
| 1790170892 | Sade Blackshear | Counselor | 97 Virginia Park Blvd, Fort Pierce, FL 34947-6908 | 2015-04-06 |
| 1750789483 | Lisa Lewis | Counselor | 2814 S Us Highway 1 Ste D-4, Fort Pierce, FL 34982 | 2014-12-11 |
| 1003224338 | Jean-mary Monval | Counselor | 2011 S 25th St Ste 108, Fort Pierce, FL 34947-4795 | 2014-07-30 |
| 1972929834 | Violet Burke | Counselor | 494 Maple Ave, Fort Pierce, FL 34982-5949 | 2014-03-14 |
| 1083043772 | Chaute Thompson | Counselor | 130 S Indian River Dr Ste 202, Fort Pierce, FL 34950-4353 | 2013-11-04 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34982 |
Please comment or provide details below to improve the information on HEATHER WOOLLEY.
| 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.