AMY HOLSTEN (NPI# 1053665356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053665356 |
| Entity Type | Individual |
| Full Name | AMY HOLSTEN |
| Credential | PH.D. |
| Practice Address |
3711 Executive Center Dr Suite 101 Martinez GA 30907-0951 |
| Practice Telephone | 7062108855 |
| Practice Fax Number | 6785417699 |
| Mailing Telephone | 7062108855 |
| Mailing Fax Number | 6785417699 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2013-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY003677 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700946944 | Amy Lynn Holsten | Speech-Language Pathologist | 14130 23rd Ave N, Plymouth, MN 55447-4904 | 2006-12-11 |
| Street Address |
3711 EXECUTIVE CENTER DR SUITE 101 |
| City | MARTINEZ |
| State | GA |
| Zip Code | 30907-0951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902982630 | Heather Marie Armstrong | Social Worker | 3711 Executive Center Dr, Suite 201, Martinez, GA 30907-0951 | 2006-10-27 |
| 1245854207 | Agape Behavioral Healthcare and Counseling, LLC . | Community/Behavioral Health | 3711 Executive Center Dr, Martinez, GA 30907-0951 | 2020-06-04 |
| 1487012530 | Wisdom Solutions of The Csra, LLC | Home Health | 3711 Executive Center Dr, Suite 101, Martinez, GA 30907-0951 | 2016-02-04 |
| 1144692286 | Niteika Lacole Sneed | Social Worker | 3711 Executive Center Dr, Suite 201, Martinez, GA 30907-0951 | 2015-10-28 |
| 1588062756 | Transformation 3cs, LLC | Counselor | 3711 Executive Center Dr, Ste 202 #6, Martinez, GA 30907-0951 | 2014-12-19 |
| 1639589179 | Sue Howell-fafchamps Lcsw LLC | Social Worker | 3711 Executive Center Dr, Suite 202 Office 1, Martinez, GA 30907-0951 | 2014-05-06 |
| 1871913087 | Audrey Mack | Counselor | 3711 Executive Center Dr, Suite 202 Office #3, Martinez, GA 30907-0951 | 2014-04-27 |
| 1922343953 | Marie Elizabeth Gehle | Psychologist | 3711 Executive Center Dr, Suite 101, Martinez, GA 30907-0951 | 2012-12-03 |
| 1508110800 | Lolita D Wiggs | Counselor | 3711 Executive Center Dr, Suite 101, Martinez, GA 30907-0951 | 2012-11-08 |
| 1962750869 | Families Forward LLC | Psychologist | 3711 Executive Center Dr, Suite 101, Martinez, GA 30907-0951 | 2012-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962750869 | Families Forward LLC | Psychologist | 3711 Executive Center Dr, Suite 101, Martinez, GA 30907-0951 | 2012-08-27 |
| 1821289877 | Dara A Delancy | Psychologist | 3711 Executive Center Dr, Suite 101, Martinez, GA 30907-0951 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538693254 | Rachel Yosick | Psychologist | 520 Wembley Cir, Sandy Springs, GA 30328-6753 | 2017-04-19 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1245655893 | Tiffany Gilmore Randell | Psychologist | 101 Devant Street, Office 401, Fayetteville, GA 30214 | 2014-02-19 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1720409493 | Tonya Favors | Psychologist | 311 S Lee St, Apt C, Americus, GA 31709-3971 | 2013-12-26 |
| 1912336546 | Francine Adams | Psychologist | 324 Trace Ln, Lawrenceville, GA 30046-2896 | 2013-11-04 |
| 1447542691 | Erin Marie Jones | Psychologist | 1256 Briarcliff Rd Ne Ste 322e, Atlanta, GA 30306-2636 | 2011-05-06 |
| 1164729901 | Tiffany Whitworth | Psychologist | 4139 Hospital Dr Ne, Covington, GA 30014-2565 | 2011-02-14 |
| 1548573264 | Kimberley Blaker Saye | Psychologist | 4695 Mahonia Way Nw, Acworth, GA 30102-3575 | 2010-07-22 |
| 1316269350 | Caitlin Herzinger Delfs | Psychologist | 4994 Lower Roswell Rd Ste 10, Marietta, GA 30068-4332 | 2010-02-18 |
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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.