DR. MARK STEPHEN WOLFE (NPI# 1184795080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184795080 |
| Entity Type | Individual |
| Full Name | DR. MARK STEPHEN WOLFE |
| Credential | PH.D. |
| Practice Address |
110 Evans Mill Dr Dallas GA 30157-1622 |
| Mailing Address |
350 Riverstone Dr Hiram GA 30141-4574 |
| Practice Telephone | 7704456358 |
| Practice Fax Number | 7704457262 |
| Mailing Telephone | 7709491395 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 888 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871920132 | Mark T Wolfe | Orthopaedic Surgery | 3906 Breezeport Way, Apt 105, Suffolk, VA 23435-1080 | 2013-10-02 |
| 1124496062 | Mark Wolfe | Social Worker | 1601 Concord Pike, Suite 68, Wilmington, DE 19803-3612 | 2015-09-09 |
| 1265729933 | Mark Wolfe | Surgery | 1133 College Ave, Bldg E-220, Manhattan, KS 66502-2770 | 2011-07-01 |
| 1962500322 | Mark William Wolfe | Internal Medicine | 25 Main St, Hyannis, MA 02601-3129 | 2006-09-20 |
| Street Address |
110 EVANS MILL DR |
| City | DALLAS |
| State | GA |
| Zip Code | 30157-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669906228 | Odette Amanda Prince | Registered Nurse | 110 Evans Mill Dr, Dallas, GA 30157-1622 | 2017-04-20 |
| 1851836597 | Second Chance Or More Counseling Services | Community/Behavioral Health | 110 Evans Mill Dr, Suite 401, Dallas, GA 30157-1622 | 2017-01-05 |
| 1780032490 | Warren Smith | Chiropractor | 110 Evans Mill Dr, Suite 301, Dallas, GA 30157-1622 | 2016-06-03 |
| 1669820379 | Precision Chiropractic Corporation | Chiropractor | 110 Evans Mill Dr, Suie 301, Dallas, GA 30157-1622 | 2016-06-03 |
| 1245612191 | Ironwood Counseling LLC | Counselor | 110 Evans Mill Dr, Dallas, GA 30157-1622 | 2015-06-26 |
| 1215338652 | Diana Keys | Counselor | 110 Evans Mill Dr, Dallas, GA 30157-1622 | 2014-09-04 |
| 1316376890 | Kimdi Joy Fair | Chiropractor | 110 Evans Mill Dr, Suite 105, Dallas, GA 30157-1622 | 2013-11-05 |
| 1093144768 | Jeffrey Kilheffer | Chiropractor | 110 Evans Mill Dr, Dallas, GA 30157-1622 | 2013-11-04 |
| 1255767232 | Jno, Inc. | In Home Supportive Care | 110 Evans Mill Dr, Suite 801, Dallas, GA 30157-1622 | 2013-09-23 |
| 1447595806 | Lthw Surgical, LLC | Surgery | 110 Evans Mill Dr, Suite 401, Dallas, GA 30157-1622 | 2012-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| Find all providers in zip 30157 | ||||
| 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 |
|---|---|---|---|---|
| 1801494752 | Theokratia Psychotherapy Pllc | Marriage & Family Therapist | 1910 Pacific Ave Ste 14225, Dallas, TX 75201-4773 | 2020-10-13 |
| 1780281089 | Patricia Ruth Kuenstler | Marriage & Family Therapist | 10544 Cox Ln, Dallas, TX 75229-5209 | 2020-10-08 |
| 1699381657 | Deborah Holt Family Therapy Pllc | Marriage & Family Therapist | 12720 Hillcrest Rd Ste 105, Dallas, TX 75230-7120 | 2020-09-16 |
| 1043823354 | Marc Kitano | Marriage & Family Therapist | 17110 Dallas Pkwy Ste 290, Dallas, TX 75248-1115 | 2020-08-26 |
| 1346889474 | Samanta Hope Jaffe | Marriage & Family Therapist | 1935 Medical District Dr # B5238, Dallas, TX 75235-7701 | 2020-01-06 |
| 1952948192 | Ngoc Turner | Marriage & Family Therapist | 6750 Hillcrest Plaza Dr Ste 224, Dallas, TX 75230-1441 | 2019-12-06 |
| 1992349039 | Trisha Seidel | Marriage & Family Therapist | 6641 Gaston Ave, Dallas, TX 75214-4027 | 2019-11-01 |
| 1538714423 | Artaya Brown | Marriage & Family Therapist | 9330 Lyndon B Johnson Fwy # 1250, Dallas, TX 75243-3436 | 2019-08-07 |
| 1801455415 | Crystal Rose Arriola | Marriage & Family Therapist | 2200 Dennison Street, Dallas, TX 75212 | 2019-06-07 |
| 1225593023 | Kelly Smartt | Marriage & Family Therapist | 5220 Spring Valley Rd Ste 122, Dallas, TX 75254-2513 | 2019-02-05 |
| Find all providers in DALLAS | ||||
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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.