PAMELA SHANKS (NPI# 1235655002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235655002 |
| Entity Type | Individual |
| Full Name | PAMELA SHANKS |
| Credential | CCSS |
| Practice Address |
1104b Cedar St Waynesboro MS 39367-2417 |
| Mailing Address |
Po Box 18679 Hattiesburg MS 39404-8679 |
| Practice Telephone | 6017353350 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 381 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545989 | Pamela Sue Shanks | Licensed Practical Nurse | 313 Chillicothe Ave, Hillsboro, OH 45133-7378 | 2019-12-20 |
| 1992808000 | Pamela Shanks | Speech-Language Pathologist | 22 Tompkins St, Waterbury, CT 06708-1417 | 2006-09-06 |
| Street Address |
1104B CEDAR ST |
| City | WAYNESBORO |
| State | MS |
| Zip Code | 39367-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033632096 | Michael Schwan | Social Worker | 1104b Cedar St, Waynesboro, MS 39367-2417 | 2017-07-21 |
| 1942727359 | Marian Washington | Counselor | 1104b Cedar St, Waynesboro, MS 39367-2417 | 2017-08-25 |
| 1578086112 | Emmie Brunner | Counselor | 1104b Cedar St, Waynesboro, MS 39367-2417 | 2017-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056541 | Helping Hand Home Care LLC | Respite Care | 822a Station St., Waynesboro, MS 39367 | 2017-07-19 |
| 1578914339 | Megan Cook | Specialist/Technologist | 44 D Hutto Drive, Waynesboro, MS 39367 | 2016-06-23 |
| 1932413762 | Bendan Boyd | Nurse Practitioner | 501 Azalea Dr. Suite F, Waynesboro, MS 39367 | 2010-08-04 |
| 1912181868 | Terry G Agent | Physical Therapist | 44 Old Highway 45 Loop Road, Waynesboro, MS 39367 | 2007-12-27 |
| 1265631949 | Joseph Daniel Stringer Jr. | Dentist | 803 Mississippi Drive, Waynesboro, MS 39367 | 2007-07-13 |
| 1245313014 | Wal-mart Stores East, Lp | Technician/Technologist | 1350 Azalea Drive, Waynesboro, MS 39367 | 2006-10-23 |
| 1851488514 | Charles Todd Stokley | Family Medicine | 940 Matthew Drive, Suite 2, Waynesboro, MS 39367 | 2006-10-06 |
| 1396832150 | William Daniel Young | Specialist | 940 Matthew Dr Ste 7, Waynesboro, MS 39367 | 2006-10-05 |
| 1518076546 | Family Dental Center of Waynesboro, P.a. | Dentist | 500 Court Street, Waynesboro, MS 39367 | 2006-08-30 |
| 1780624510 | Bobbie Jean Cooksey | Nurse Practitioner | 920 Matthew Drive, Suite D, Waynesboro, MS 39367 | 2006-06-08 |
| Find all providers in zip 39367 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543479 | Yozaira Leon Santiago | Counselor | 40 Oakbridge Dr, Waynesboro, VA 22980-6501 | 2020-03-18 |
| 1053837898 | Ardelisa Jones | Counselor | 1406 Mississippi Dr, Waynesboro, MS 39367-8901 | 2017-08-14 |
| 1407387772 | Nelda Prater | Counselor | 942 Andrew Jackson Dr., Waynesboro, TN 38485 | 2017-03-27 |
| 1619330024 | Amanda Burnett | Counselor | 803 Davis Rd Apt 702, Waynesboro, GA 30830-1824 | 2016-04-02 |
| 1043499163 | Charlottesville League of Therapists, Inc. | Counselor | 2234 W Main St, Waynesboro, VA 22980-1739 | 2007-10-25 |
| 1013096353 | Sara Howlett | Counselor | 1305 13th Street, A2, Waynesboro, VA 22980 | 2006-11-06 |
| 1942727359 | Marian Washington | Counselor | 1104b Cedar St, Waynesboro, MS 39367-2417 | 2017-08-25 |
| 1578086112 | Emmie Brunner | Counselor | 1104b Cedar St, Waynesboro, MS 39367-2417 | 2017-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169423 | Chiquita Minor Hampton | Counselor | 3433 Exchange Dr, Jackson, MS 39212-4818 | 2020-09-16 |
| 1710598586 | Candace L. Gillespie | Counselor | 829 W South St, Mound Bayou, MS 38762-9797 | 2020-08-13 |
| 1114537651 | Renee Gusta | Counselor | 2367 Trafalgar Dr, Biloxi, MS 39531-2277 | 2020-08-07 |
| 1003424078 | Marquita Lachette Wilson | Counselor | 315 N Madison St, Kosciusko, MS 39090-3341 | 2020-07-16 |
| 1437773546 | Delissa L Castleberry | Counselor | 7112 Home of Grace Dr, Gautier, MS 39553-2728 | 2020-06-04 |
| 1942820717 | Cindy Marie Lescallette Mccarley | Counselor | 295 Willow Creek Dr, Vicksburg, MS 39183-9288 | 2020-04-22 |
| 1689202178 | Nicole Lynn Yenter | Counselor | 800 Van Buren Ave, Oxford, MS 38655-3844 | 2020-03-30 |
| 1912531005 | Bobbi Burns Burdett | Counselor | 377 Montgomery Rd Sw, Summit, MS 39666 | 2020-02-27 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1760022313 | Kyra Reed | Counselor | 3530a Manor Dr Ste 5, Vicksburg, MS 39180-5693 | 2020-01-12 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBORO |
| Zip Code | 39367 |
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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.