ANASTASIA STACY WYATT (NPI# 1245365527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245365527 |
Entity Type | Individual |
Full Name | ANASTASIA STACY WYATT |
Credential | CADC |
Practice Address |
118 West Union Street Munfordville KY 42765 |
Mailing Address |
1686 Morehead Rd Bowling Green KY 42101-6304 |
Practice Telephone | 2705249883 |
Practice Fax Number | 2705240437 |
Enumeration Date | 2007-02-23 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0762 | KY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 30604011 | 05 |
Street Address |
118 WEST UNION STREET |
City | MUNFORDVILLE |
State | KY |
Zip Code | 42765 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174132997 | All Smiles Therapy, LLC | Speech-Language Pathologist | 114 W Union Street, Munfordville, KY 42765 | 2020-07-28 |
1922385129 | Wanda Sexton | Counselor | 103 E. South St., Munfordville, KY 42765 | 2011-11-16 |
1215217328 | Brandy Gayle Pierce | Registered Nurse | 117 West South St., Munfordville, KY 42765 | 2011-08-19 |
1447588488 | Jackie A. Pandeya | Nurse Practitioner | 950 Main St., Munfordville, KY 42765 | 2009-12-03 |
1295955961 | Jill Lynn Humphrey | Speech-Language Pathologist | 3316 Macon Kessinger Rd, Munfordville, KY 42765 | 2007-04-26 |
1790801694 | Christina L Johns | Counselor | 118 West Union St., Munfordville, KY 42765 | 2007-03-22 |
1083741326 | Louisville Optometric Center, IIi, Psc | Optometrist | 815 Main St., Munfordville, KY 42765 | 2007-02-27 |
1306987847 | Laura A Gaines | Social Worker | 118 West Union St, Munfordville, KY 42765 | 2007-02-09 |
1427015890 | Hart County Ambulance Service,taxing District | Ambulance | 20 Ambulance Drive, Munfordville, KY 42765 | 2006-04-28 |
1881659951 | Family Medical Center of Hart Co | Pediatrics | 117 W South St, Munfordville, KY 42765 | 2006-04-20 |
Find all providers in zip 42765 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235738741 | Tina Hacker | Counselor | Crossroads Treatment Centers, 1974 Walton Nicholson Rd, Independence, KY 41051 | 2020-10-26 |
1851998181 | Specialistsmat Psc | Counselor | 110 Chase Way Ste 2, Elizabethtown, KY 42701-7827 | 2020-10-09 |
1538774914 | Lynn Marie Richendollar | Counselor | 148 S. Nelson Park Rd, Paducah, KY 42001-4200 | 2020-09-11 |
1972114585 | Lynn Nicole Thompson | Counselor | 1621 Foxhaven Dr, Richmond, KY 40475-1056 | 2020-08-17 |
1700496569 | Nicole Kristina Doza | Counselor | 9720 Park Plaza Ave Unit 104, Louisville, KY 40241-2289 | 2020-08-06 |
1447860572 | Jordan Mceuen | Counselor | 645 S Roy Wilkins Ave Ste 100, Louisville, KY 40203-2072 | 2020-08-04 |
1285252080 | Shamara Huguely | Counselor | 455 Park Pl # 130, Lexington, KY 40511-1881 | 2020-07-08 |
1023633674 | Ky Behavioral Solutions | Counselor | 12700 Townepark Way Ste 341, Louisville, KY 40243-2381 | 2020-06-10 |
1730702788 | Ruth Gonia | Counselor | 2810 Rosewood Rd, La Grange, KY 40031-9323 | 2020-05-26 |
1063040871 | National Treatment Prevention and Education Center | Counselor | 6452 Alum Springs Rd, Danville, KY 40422-9054 | 2020-03-28 |
Find all providers with the same taxonomy |
City | MUNFORDVILLE |
Zip Code | 42765 |
Please comment or provide details below to improve the information on ANASTASIA STACY WYATT.
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.