MISS SHELBY M WYNN (NPI# 1881226173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881226173 |
| Entity Type | Individual |
| Full Name | MISS SHELBY M WYNN |
| Credential | ATR |
| Practice Address |
1942 Fairhope Rd Nw Roanoke VA 24017-1708 |
| Practice Telephone | 5408153644 |
| Mailing Telephone | 5408153644 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0704007013 | VA | Behavioral Health & Social Service Providers |
| Street Address |
1942 FAIRHOPE RD NW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24017-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083132450 | Kuumba Community Health & Wellness Center, Inc. | Pharmacy | 3716 Melrose Ave Nw Suite 130, Roanoke, VA 24017 | 2017-09-06 |
| 1467880484 | Mitzi Cotton | Social Worker | 2021 Dansbury Drive, Roanoke, VA 24017 | 2013-10-30 |
| 1598002818 | Stacey Queen Graham | Occupational Therapist | 4550 Shenadoah Ave, Roanoke, VA 24017 | 2013-01-07 |
| 1366760506 | Tammy L Tomlinson | Physical Therapist | 4550 Shenandoah Avenue, Virginia Veterans Care Center, Roanoke, VA 24017 | 2010-05-12 |
| 1588817712 | Delphine Anita Childress | Registered Nurse | 2111 Temple Drive Nw, Roanoke, VA 24017 | 2008-10-31 |
| 1447471933 | Cathy Lucas | Physical Therapy Assistant | 4550 Shenandoah Ave, Roanoke, VA 24017 | 2007-05-01 |
| 1134214968 | Planned Parenthood South Atlantic | Clinic/Center | 2207 Peters Creek Rd Nw, Roanoke, VA 24017 | 2006-10-04 |
| 1871684902 | Janet Susan Sprouse | Counselor | 1301 Peters Creek Rd Nw, Roanoke, VA 24017 | 2006-09-27 |
| 1497764906 | B Alison Allsbrook | Social Worker | 3716 Melrose Avenue, Nw, Roanoke, VA 24017 | 2006-08-05 |
| 1427027341 | Goodwill Industries of The Valleys - Roanoke | Day Training, Developmentally Disabled Services | 2502 Melrose Avenue Nw, Roanoke, VA 24017 | 2006-03-14 |
| Find all providers in zip 24017 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352645 | Victor M Rivera Sink | Counselor | 637 Webster Heights Rd, Roanoke, VA 24012-8988 | 2020-10-01 |
| 1902427495 | Lance Crawford | Counselor | 17 Church Ave Sw Apt 303, Roanoke, VA 24011-2011 | 2020-05-06 |
| 1992325344 | Joy-filled Counseling, Pllc | Counselor | 15600 Yarberry Dr, Roanoke, TX 76262-3364 | 2020-04-24 |
| 1215587423 | Tara Hutcheson | Counselor | 846 Campbell Ave Sw, Roanoke, VA 24016-3536 | 2019-09-19 |
| 1437702461 | John Aubrey Hosey | Counselor | 3023 Peters Creek Rd Nw Ste B, Roanoke, VA 24019-2758 | 2019-07-18 |
| 1740846773 | Heather Erin Hamed-moore | Counselor | 541 Luck Ave Sw Ste 209, Roanoke, VA 24016-5055 | 2019-05-15 |
| 1770046120 | Heartspace Counseling, Plc | Counselor | 2502 Broadway Ave Sw Uppr Unit, Roanoke, VA 24014-1663 | 2019-04-12 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1053848507 | Natalie Sanders | Counselor | 4537 Hammond Ln, Roanoke, VA 24018-3921 | 2017-05-15 |
| 1659817823 | Patricia Salcedo | Counselor | 209 Travis St Ste 102, Roanoke, TX 76262-8605 | 2017-01-12 |
| Find all providers in ROANOKE | ||||
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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.