SIL-MIRACLE WALKER (NPI# 1114539491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114539491 |
| Entity Type | Individual |
| Full Name | SIL-MIRACLE WALKER |
| Credential | M.ED., NCC |
| Practice Address |
4210 Columbia Rd Ste 7b Martinez GA 30907-0439 |
| Mailing Address |
4145 Columbia Rd Martinez GA 30907-5400 |
| Practice Telephone | 7068697373 |
| Mailing Telephone | 7068697373 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
4210 COLUMBIA RD STE 7B |
| City | MARTINEZ |
| State | GA |
| Zip Code | 30907-0439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396227237 | Brittanie Dawn Mills | Marriage & Family Therapist | 202 De Normandie Way, Martinez, CA 94553-3009 | 2018-09-06 |
| 1518476571 | Heather Quisenberry | Marriage & Family Therapist | 227 Pebblecreek Ct, Martinez, CA 94553-6808 | 2017-09-21 |
| 1154848208 | Jill Vanasek Shinn | Marriage & Family Therapist | 1579 Ashwood Dr, Martinez, CA 94553-5344 | 2017-08-29 |
| 1205352325 | Jill Stewart | Marriage & Family Therapist | 76 Cecilia Ln, Martinez, CA 94553-1460 | 2017-08-21 |
| 1609307396 | Connie Hart | Marriage & Family Therapist | 524 Allen St, Martinez, CA 94553-2611 | 2017-03-23 |
| 1497159370 | Barbara Lankamp-kochis | Marriage & Family Therapist | 1350 Arnold Dr, Suite 200, Martinez, CA 94553-4190 | 2014-10-21 |
| 1063825602 | Justin Kram | Marriage & Family Therapist | 30 Douglas Dr, Suite 234, Martinez, CA 94553-4068 | 2014-06-10 |
| 1114345337 | Bruce Conroy | Marriage & Family Therapist | 565 Bernice Ln, Martinez, CA 94553-5903 | 2014-04-03 |
| 1447680376 | Dale Bell | Marriage & Family Therapist | 3755 Alhambra Ave Ste 8, Martinez, CA 94553-3833 | 2013-11-13 |
| 1336482868 | Linda J. Arzio | Marriage & Family Therapist | 1111 Ward St., 3rd Flr, Martinez, CA 94553 | 2013-04-03 |
| Find all providers in MARTINEZ | ||||
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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.