YVONNE SCOTT WALLACE (NPI# 1265521827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265521827 |
| Entity Type | Individual |
| Full Name | YVONNE SCOTT WALLACE |
| Credential | LCSW |
| Practice Address |
3912 Cedar Cir Tucker GA 30084-7339 |
| Practice Telephone | 7704149742 |
| Practice Fax Number | 7704148296 |
| Mailing Telephone | 7704149742 |
| Mailing Fax Number | 7704148286 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CSW001009 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952857427 | Yvonne Sue Wallace | Licensed Practical Nurse | 551 Cincinnati Batavia Pike, Cincinnati, OH 45244 | 2016-08-25 |
| Street Address |
3912 CEDAR CIR |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-7339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639180557 | Eleanor S Rosenwald | Registered Nurse | 3912 Cedar Cir, Tucker, GA 30084-7339 | 2006-08-10 |
| 1063788214 | Delice S Echols | Social Worker | 3912 Cedar Cir, Tucker, GA 30084-7339 | 2012-03-31 |
| 1477781938 | Helen P Fredrick | Social Worker | 3912 Cedar Cir, Tucker, GA 30084-7339 | 2009-06-23 |
| 1245468719 | Emily D Russ | Social Worker | 3912 Cedar Cir, Tucker, GA 30084-7339 | 2009-06-23 |
| 1306074877 | Yelta P Malone | Social Worker | 3912 Cedar Cir, Tucker, GA 30084-7339 | 2009-06-23 |
| 1235307703 | Louise M Spiro | Social Worker | 3912 Cedar Cir, Tucker, GA 30084-7339 | 2008-02-18 |
| 1598894826 | Laura J Williams | Social Worker | 3912 Cedar Cir, Tucker, GA 30084-7339 | 2007-03-04 |
| 1497884720 | Carole R Randall | Social Worker | 3912 Cedar Cir, Tucker, GA 30084-7339 | 2007-03-04 |
| 1053479113 | Nancy Foster Penn | Social Worker | 3912 Cedar Cir, Tucker, GA 30084-7339 | 2006-12-04 |
| 1306904479 | Aubrey S Lee | Social Worker | 3912 Cedar Cir, Tucker, GA 30084-7339 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289524 | Kaylan Maloney | Counselor | 3552 Habersham At Northlake, Tucker, GA 30084-4009 | 2020-06-16 |
| 1255846895 | Merry Ware | Counselor | 2206 Hanfred Ln Ste 106, Tucker, GA 30084-4809 | 2017-12-05 |
| 1649722794 | C & A Counseling Lllp | Counselor | 2323 Main St Ste B-1, Tucker, GA 30084-8522 | 2016-10-25 |
| 1104435874 | Hannah Joy Boos | Counselor | 3754 Lavista Rd Ste 200, Tucker, GA 30084-5627 | 2020-07-28 |
| 1073122073 | Chelsea Alexis Green | Counselor | 3552 Habersham At Northlake, Tucker, GA 30084-4009 | 2020-07-26 |
| 1184250235 | Jonathan A Macfarlane | Counselor | 3754 Lavista Rd Ste 200, Tucker, GA 30084-5627 | 2020-03-20 |
| 1710526967 | Jason R Haynes | Counselor | 3754 Lavista Rd Ste 200, Tucker, GA 30084-5627 | 2020-01-04 |
| 1255974895 | Elizabeth Hope Corbett | Counselor | 2370 Main St, Tucker, GA 30084-4456 | 2019-10-27 |
| 1881137305 | Timothy Vojta | Counselor | 3754 Lavista Rd Ste 200, Tucker, GA 30084-5627 | 2016-12-01 |
| 1790106185 | Tracey J Van Dyke | Counselor | 4823 N Royal Atlanta Dr, Tucker, GA 30084-3806 | 2014-01-02 |
| Find all providers in TUCKER | ||||
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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.