GREGORY LOUIS WYATT (NPI# 1134487713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134487713 |
| Entity Type | Individual |
| Full Name | GREGORY LOUIS WYATT |
| Credential | LMHC |
| Practice Address |
6622 Banbury Rd Jacksonville FL 32266 |
| Mailing Address |
6622 Banbury Rd. Jacksonville FL 32211 |
| Practice Telephone | 9047438258 |
| Mailing Telephone | 9047438258 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH6521 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609901578 | Gregory Wyatt | Technician | 10135 N Church Dr, Parma Heights, OH 44130-4081 | 2007-02-22 |
| 1922016534 | Gregory M Wyatt | Anesthesiology | 25500 Medical Center Dr, Murrieta, CA 92562-5965 | 2006-08-03 |
| Street Address |
6622 BANBURY RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098057 | Margaret Elizabeth Bernhart | Counselor | 800 3rd Street Ste C, Neptune Beach, FL 32266 | 2018-10-08 |
| 1144707753 | Matthew Hickman | Counselor | 804 3rd St Suite Ab, Neptune Beach, FL 32266 | 2018-07-26 |
| 1487172094 | Seabreeze Medical Pa | Internal Medicine | 320 3rd St Ste B, Neptune Beach, FL 32266 | 2017-09-03 |
| 1740714716 | Christine Coleman | Counselor | 804 3rd St Ste A&b, Neptune Beach, FL 32266 | 2017-04-17 |
| 1609227685 | Susan E. Stewart | Acupuncturist | 320 Third Street, Sutie B, Neptune Beach, FL 32266 | 2016-06-30 |
| 1407203078 | Lofton Creek Dental, Pa | Dentist | 109 Azalea Place, Neptune Beach, FL 32266 | 2016-05-24 |
| 1083082895 | Edith Maria Ortega | Internal Medicine | 528 Oceanfront, Neptune Beach, FL 32266 | 2015-09-10 |
| 1689074817 | Elizabeth Phillips Broullire | Pharmacist | 630 Atlantic Blvd., Neptune Beach, FL 32266 | 2014-08-25 |
| 1740614775 | Surfside Dental Center, Pa. | Point of Service | 630-7 Atlantic Blvd., Neptune Beach, FL 32266 | 2013-08-27 |
| 1568725984 | Neptune Beach Pharmacy LLC | Pharmacist | 1529 Atlantic Blvd, Neptune Beach, FL 32266 | 2012-06-20 |
| Find all providers in zip 32266 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720519 | Ashley Harms | Counselor | 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 | 2020-11-03 |
| 1902418684 | Molly Ann Burkhardt | Counselor | 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 | 2020-08-23 |
| 1194335638 | Aiteria Green | Counselor | 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 | 2020-08-07 |
| 1053920116 | Barbara Burden | Counselor | 209 N Carole Dr, Jacksonville, NC 28546-4845 | 2020-07-24 |
| 1790393973 | Kelley Holladay | Counselor | 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 | 2020-07-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1447877709 | Quendria Johnson-kerns | Counselor | 200 Zonnie Ln, Jacksonville, NC 28540-9729 | 2020-07-02 |
| 1467077164 | Shanna Horan | Counselor | 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 | 2020-06-09 |
| 1720602527 | Shannon E Raikes | Counselor | 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 | 2020-06-08 |
| 1750905253 | Kathlena N Reed | Counselor | 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 | 2020-06-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32266 |
Please comment or provide details below to improve the information on GREGORY LOUIS WYATT.
| 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.