SAVANNA MARTIN (NPI# 1558961441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558961441 |
| Entity Type | Individual |
| Full Name | SAVANNA MARTIN |
| Credential | LPC, LAC |
| Practice Address |
15105 Knickerbocker Dr Woodbridge VA 22193-1880 |
| Practice Telephone | 6054903865 |
| Mailing Telephone | 6054903865 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
19021812 | SD | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC20574 | SD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954612 | Savanna D Martin | Case Manager/Care Coordinator | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2019-07-22 |
| Street Address |
15105 KNICKERBOCKER DR |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22193-1880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| 1982111449 | Frances Davis | Social Worker | 4196 Merchant Plaza Apt 632, Woodbridge, VA 22193 | 2018-01-05 |
| 1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
| 1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
| 1588056139 | Lifelong Good Health LLC | Clinic/Center | 5721 Rhode Isalnd Drive, Woodbridge, VA 22193 | 2015-02-19 |
| 1639560378 | Tara Devi Smith | Psychologist | 13855 Hedgewood Drive, #245, Woodbridge, VA 22193 | 2015-02-17 |
| 1710396114 | Allanna Harrison | Speech-Language Pathologist | 15792 Beau Ridge Dr., Woodbridge, VA 22193 | 2014-08-11 |
| 1659788909 | Lifelong Good Health | Clinic/Center | 5721 Rhode Island Dr, Woodbridge, VA 22193 | 2014-07-18 |
| 1952731960 | Corrieann Marie Avila | Social Worker | 12721 Darby Brooke Court, Suite 102, Woodbridge, VA 22193 | 2013-11-13 |
| 1972881019 | Ockhee Jung | Acupuncturist | 14174 Rizdon Ct, Woodbridge, VA 22193 | 2011-07-22 |
| Find all providers in zip 22193 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043671 | Holistically You Therapeutic Services, LLC | Counselor | 2227 Old Bridge Rd Unit 221, Woodbridge, VA 22192-3007 | 2020-11-03 |
| 1184248536 | Sherill Angelee Carpenter | Counselor | 3289 Eagle Ridge Dr, Woodbridge, VA 22191-6520 | 2020-06-02 |
| 1154943264 | Serenity Wellness, LLC | Counselor | 14105 Cove Landing Dr Apt 303, Woodbridge, VA 22191-2257 | 2020-05-12 |
| 1346882214 | Regina Angela Stone | Counselor | 4300a Ridgewood Center Dr, Woodbridge, VA 22192-5307 | 2019-10-11 |
| 1891341244 | Sabrina Adkinson | Counselor | 14952 Fig Ct, Woodbridge, VA 22193-6025 | 2019-08-12 |
| 1649838822 | Arcadian Counseling, LLC | Counselor | 176 Amity Rd # 283, Woodbridge, CT 06525 | 2019-06-03 |
| 1659848000 | Elaine Sue Kramer | Counselor | 12751 Marblestone Dr Ste 200, Woodbridge, VA 22192-8337 | 2018-10-24 |
| 1033685961 | A Fresh Start LLC | Counselor | 30 Hazel Ter Ste K, Woodbridge, CT 06525-2240 | 2018-10-18 |
| 1194209429 | Penny Kotsianas | Counselor | 503 Lyman Ave, Woodbridge, NJ 07095-2224 | 2018-09-22 |
| 1518441914 | Anew Hope, LLC | Counselor | 4196 Merchant Plz Ste 433, Woodbridge, VA 22192-5085 | 2018-09-20 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22193 |
Please comment or provide details below to improve the information on SAVANNA MARTIN.
| 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.