MISS AJA N WALLACE (NPI# 1073173761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073173761 |
| Entity Type | Individual |
| Full Name | MISS AJA N WALLACE |
| Practice Address |
79 Chestnut St Lumberton NJ 08048-1134 |
| Mailing Address |
770 Woodlane Rd Westampton NJ 08060-3804 |
| Practice Telephone | 6095185470 |
| Mailing Telephone | 6092675928 |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346699576 | Aja Wallace | Social Worker | 215 Maple Dr, Lake City, SC 29560-3931 | 2016-06-08 |
| 1306406228 | Aja Jeanette Wallace | Counselor | 1485 Linapuni St, Honolulu, HI 96819-3575 | 2019-06-13 |
| Street Address |
79 CHESTNUT ST |
| City | LUMBERTON |
| State | NJ |
| Zip Code | 08048-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699151704 | Shelby Stice Pringle | Counselor | 79 Chestnut St, Lumberton, NJ 08048-1134 | 2015-07-31 |
| 1316324817 | Desiree Durow | Social Worker | 79 Chestnut St, Lumberton, NJ 08048-1134 | 2015-05-04 |
| 1902299886 | Raymond Charles Meyers | Social Worker | 79 Chestnut St, Lumberton, NJ 08048-1134 | 2015-03-16 |
| 1326439258 | Robyn Decosta | Counselor | 79 Chestnut St, Lumberton, NJ 08048-1134 | 2015-02-13 |
| 1467842658 | Betia Thomas | Counselor | 79 Chestnut St, Lumberton, NJ 08048-1134 | 2015-01-27 |
| 1376951129 | Lisa Mcintosh-harris | Counselor | 79 Chestnut St, Lumberton, NJ 08048-1134 | 2014-07-24 |
| 1669889754 | Randi Beatrice | Social Worker | 79 Chestnut St, Lumberton, NJ 08048-1134 | 2014-07-21 |
| 1700293479 | Lisa Tyler | Counselor | 79 Chestnut St, Lumberton, NJ 08048-1134 | 2014-07-15 |
| 1417363169 | Megan Lynn Abbott | Counselor | 79 Chestnut St, Lumberton, NJ 08048-1134 | 2014-07-02 |
| 1003233065 | Twin Oaks Community Services, Inc | Clinic/Center | 79 Chestnut St, Lumberton, NJ 08048-1134 | 2014-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
| 1598139230 | Donise Paullette Dumpson | Nurse Anesthetist, Certified Registered | 140 Mt. Holly Bypass, Lumberton, NJ 08048 | 2015-11-18 |
| 1578962486 | Anne Greenwood | Counselor | 79 Chestnut Street, Lumberton, NJ 08048 | 2014-08-15 |
| 1780008136 | Alexander Park | Counselor | 770 Woodland Road, Mt. Holly, NJ 08048 | 2014-02-05 |
| 1396039772 | Linda Jean Wiles | Social Worker | 305 Dove Court, Lumberton, NJ 08048 | 2011-06-03 |
| 1073743365 | Advocating Counseling Enrichment and Development LLC | Social Worker | 41 Bridge Rd, Lumberton, NJ 08048 | 2009-07-21 |
| 1801940721 | Prathima Neruganti | Dentist | 1636 Route 38 Ste 21, Lumberton Plaza, Lumberton, NJ 08048 | 2007-01-22 |
| 1932288743 | Dental Health Associates Pa | Dentist | 1636 21 Rt 38, Lumberton Plaza, Lumberton, NJ 08048 | 2006-11-03 |
| 1093898769 | Patricia R Lyons | Dentist | 1636 21 Rte 38 Lumberton Plaza, Dental Health Associates Pa, Lumberton, NJ 08048 | 2006-10-24 |
| 1295828598 | George M Budd | Dentist | 737 Main Street, George M Budd Dds, Lumberton, NJ 08048 | 2006-10-02 |
| Find all providers in zip 08048 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659846541 | Cassaundra Paige Locklear | Counselor | 1560 Oak Grove Church Road, Lumberton, NC 28360 | 2018-10-08 |
| 1902322795 | Evelyn Jemison-coleman | Counselor | 2105 E Elizabethtown Rd, Lumberton, NC 28358-3107 | 2017-08-14 |
| 1588103634 | Natasha Tamika Mcdaniels | Counselor | 602 Holland Pl, Lumberton, NJ 08048-3112 | 2017-02-21 |
| 1104293257 | Larina Mcdonald | Counselor | 2 Clove Ct, Lumberton, NJ 08048-4212 | 2015-08-25 |
| 1891197158 | Anthony Eldridge | Counselor | 662 Main St Ste B, Lumberton, NJ 08048-5014 | 2014-09-18 |
| 1538560826 | Jennifer Martin | Counselor | 56 Ginger Dr, Lumberton, NJ 08048-4204 | 2014-09-05 |
| 1790184695 | Kimberly Stoneking | Counselor | 79a Chestnut St, Lumberton, NJ 08048-1134 | 2014-08-15 |
| 1578962486 | Anne Greenwood | Counselor | 79 Chestnut Street, Lumberton, NJ 08048 | 2014-08-15 |
| 1568861631 | Naamah Curry I | Counselor | 3 Clove Ct, Lumberton, NJ 08048-4212 | 2014-08-14 |
| 1225446917 | Kendall Dempsey | Counselor | 1 Marriott Dr, Lumberton, NJ 08048-5235 | 2014-07-26 |
| Find all providers in LUMBERTON | ||||
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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.