SALITA WYNN (NPI# 1407319411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407319411 |
| Entity Type | Individual |
| Full Name | SALITA WYNN |
| Practice Address |
96b Tommy Stalnaker Dr Warner Robins GA 31088-9179 |
| Practice Telephone | 4783332735 |
| Practice Fax Number | 4788457390 |
| Mailing Telephone | 4783332735 |
| Mailing Fax Number | 4788457390 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | 000000000 | 01 |
| Street Address |
96B TOMMY STALNAKER DR |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-9179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376068783 | Joshua Giordanella | Rehabilitation Counselor | 96b Tommy Stalnaker Dr, Warner Robins, GA 31088-9179 | 2017-08-07 |
| 1902460991 | Victoria Ross | Health Educator | 96b Tommy Stalnaker Dr, Warner Robins, GA 31088-9179 | 2019-04-25 |
| 1770052474 | Talisha Carter-moody | Counselor | 96b Tommy Stalnaker Dr, Warner Robins, GA 31088-9179 | 2018-11-26 |
| 1801365705 | James Giordanella | Counselor | 96b Tommy Stalnaker Dr, Warner Robins, GA 31088-9179 | 2018-11-20 |
| 1528537636 | Danielle Sweet Jones | Counselor | 96b Tommy Stalnaker Dr, Warner Robins, GA 31088-9179 | 2018-11-19 |
| 1154820090 | Lucy Butler-sands | Social Worker | 96b Tommy Stalnaker Dr, Warner Robins, GA 31088-9179 | 2018-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| 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 |
|---|---|---|---|---|
| 1295267318 | Kenyatta Brandy Williams | Counselor | 108 Vassas Ct, Warner Robins, GA 31088-3740 | 2017-03-29 |
| 1275072068 | Corsica Carreker | Counselor | 940 Ga Highway 96 Ste B, Warner Robins, GA 31088-2586 | 2017-02-14 |
| 1053850958 | Khadija Morris | Counselor | 105 Selena Ct, Warner Robins, GA 31088-2322 | 2017-02-13 |
| 1336681691 | Pamela Jean Davis | Counselor | 100 Cade Ter, Warner Robins, GA 31088-1680 | 2016-11-17 |
| 1598150260 | Sandra P Charles | Counselor | 404 Roseine Dr, Warner Robins, GA 31088-8686 | 2015-03-31 |
| 1881028215 | Heather W Prunty | Counselor | 501 Osigian Blvd Ste A, Warner Robins, GA 31088-9192 | 2013-08-21 |
| 1720239569 | Jimi Byrnes | Counselor | 239b Smithville Church Road, Warner Robins, GA 31088 | 2008-10-09 |
| 1013100445 | Jennifer Ransom | Counselor | 206 Rigby Ct, Warner Robins, GA 31088-2023 | 2007-08-20 |
| 1508947235 | James Andrew Vaughns | Counselor | 1000 Executive Ct Ste B, Warner Robins, GA 31093-3193 | 2006-10-18 |
| 1114011467 | Terry Lynn Manning | Counselor | 102 Monarch Pl, Warner Robins, GA 31088-2810 | 2006-10-03 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
Please comment or provide details below to improve the information on SALITA WYNN.
| 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.