DR. ADELINE MCTAVOUS (NPI# 1124341854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124341854 |
| Entity Type | Individual |
| Full Name | DR. ADELINE MCTAVOUS |
| Credential | PH.D., LPC, LMHC,CCS |
| Practice Address |
555 Charlie Smith Sr Hwy Ste 6 Saint Marys GA 31558 |
| Mailing Address |
555 Charlie Smith Sr Hwy Ste 6 Saint Marys GA 31558-3032 |
| Practice Telephone | 9125760187 |
| Practice Fax Number | 9125769690 |
| Mailing Telephone | 9125760187 |
| Mailing Fax Number | 9125769690 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC3272 | MD | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1205 4th St, Key West, FL 330403707 | 3054347660 | 3052926723 |
| Street Address |
555 CHARLIE SMITH SR HWY STE 6 |
| City | SAINT MARYS |
| State | GA |
| Zip Code | 31558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1922659192 | Christian Bianca Booker | Social Worker | 944 Kings Bay Rd. #247, St. Marys, GA 31558 | 2019-09-27 |
| 1154897296 | Shonta Harper | Counselor | 708 Osborne St Ste 104, Saint Marys, GA 31558 | 2018-10-16 |
| 1174038095 | Camden Behavioral Wellness, Inc | Counselor | 605 Osborne Street, Saint Mary's, GA 31558 | 2017-12-14 |
| 1285149427 | Urgent Care of Coastal Georgia | General Practice | 214 A Professional Circle, St. Marys, GA 31558 | 2017-12-11 |
| 1679975783 | Jeremy Cole | Behavioral Analyst | 921 Charlie Smith Sr. Highway, St. Marys, GA 31558 | 2014-09-19 |
| 1053660738 | Janice Paulino Ramirez | Nurse Practitioner | 2040 Dan Proctor Drive, Suite 170, St Marys, GA 31558 | 2012-09-10 |
| 1174899454 | Light Horse Healthcare Inc | Voluntary or Charitable | 2060 Dan Proctor Drive, Suite 3300, St Marys, GA 31558 | 2012-03-30 |
| 1316215775 | Annette O. Perry | Counselor | 4019 Hwy 40 East, St. Marys, GA 31558 | 2011-12-13 |
| 1932486271 | Sarah Jo Meyers | Speech-Language Pathologist | 2015 Osborne Rd, Unit A, St Marys, GA 31558 | 2011-11-15 |
| Find all providers in zip 31558 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760028815 | Tamika Hornsby | Counselor | 900 Dilworth St Apt E8, Saint Marys, GA 31558-8692 | 2019-11-25 |
| 1154897296 | Shonta Harper | Counselor | 708 Osborne St Ste 104, Saint Marys, GA 31558 | 2018-10-16 |
| 1326525247 | Lady Love Bates Merryman | Counselor | 3570 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3500 | 2018-07-24 |
| 1285143628 | Higher Vision Counseling Services, LLC | Counselor | 15716 Lambert Rd, Saint Marys, OH 45885-9202 | 2017-09-28 |
| 1649793985 | Anne Marie Riddle | Counselor | 319 Washington St, Saint Marys, PA 15857-1353 | 2017-07-19 |
| 1073961405 | April Stone | Counselor | 1602 Sandpiper Ct, Saint Marys, GA 31558-4187 | 2016-05-26 |
| 1588081640 | Cassey St.rose | Counselor | 101 E Weed St, Saint Marys, GA 31558-8370 | 2014-03-26 |
| 1255507299 | Rachel Nicole Haynie | Counselor | 900 Dilworth St, Apt. J8, Saint Marys, GA 31558-8677 | 2008-04-30 |
| 1780706085 | Julia E. Riutzel | Counselor | 11 Kassug Rd, Saint Marys, AK 99658 | 2007-04-06 |
| 1114548260 | Planting Hope Counseling Center | Counselor | 1602 Sandpiper Ct, Saint Marys, GA 31558-4187 | 2020-04-29 |
| Find all providers in SAINT MARYS | ||||
| City | SAINT MARYS |
| Zip Code | 31558 |
Please comment or provide details below to improve the information on DR. ADELINE MCTAVOUS.
| 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.