LINDSEY WOLD (NPI# 1295093623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295093623 |
Entity Type | Individual |
Full Name | LINDSEY WOLD |
Credential | LPC |
Practice Address |
463 Ernest Biles Dr Jackson GA 30233-2229 |
Mailing Address |
240 Pebble Ridge Dr Covington GA 30014-8453 |
Practice Telephone | 7703585252 |
Mailing Telephone | 7707887474 |
Enumeration Date | 2012-04-23 |
Last Update Date | 2019-01-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC008285 | GA | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
APC003402 | GA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | GEORGIA LICENSING BOARD | APC003402 | 01 |
GA | GEORGIA COMPOSITE BOARD | LPC008285 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508328352 | Lindsey J Wold | Counselor | 21 Main St Ste 301, Bangor, ME 04401-6359 | 2019-04-02 |
Street Address |
463 ERNEST BILES DR |
City | JACKSON |
State | GA |
Zip Code | 30233-2229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861485765 | Butts County Board of Health | Skilled Nursing Facility | 463 Ernest Biles Dr, Suite A, Jackson, GA 30233-2229 | 2005-08-25 |
1689061558 | Cindy Mullen | Counselor | 463 Ernest Biles Dr, Jackson, GA 30233-2229 | 2015-04-18 |
1528233434 | Valerie Michelle Jones | Licensed Practical Nurse | 463 Ernest Biles Dr, Jackson, GA 30233-2229 | 2008-04-23 |
1265610406 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 463 Ernest Biles Dr, Suite B, Jackson, GA 30233-2229 | 2008-02-08 |
1437374535 | Angela K Hardy | Counselor | 463 Ernest Biles Dr, Suite B, Jackson, GA 30233-2229 | 2007-04-16 |
1669598132 | Deborah Mcgraw Quinton | Social Worker | 463 Ernest Biles Dr, Suite B, Jackson, GA 30233-2229 | 2007-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366800914 | Georgia Ophthalmologists LLC | Durable Medical Equipment & Medical Supplies | 860 W 3rd St, Jackson, GA 30233 | 2016-02-10 |
1306225057 | Young Dreaden | Nurse Practitioner | 2978 Hwy 36w, Jackson, GA 30233 | 2015-05-28 |
1609255520 | Neta J Roby | Nurse Practitioner | Hwy 36, Georgia Diagnostic Classification Prison, Jackson, GA 30233 | 2015-05-26 |
1033546098 | Henrietta Lindsay | Social Worker | 463-b Ernest Biles Dr, Jackson, GA 30233 | 2013-10-04 |
1255776993 | Gareth Gene Walker | Technician | 514 Covinton Street, Jackson, GA 30233 | 2013-05-08 |
1730489592 | Mary L. Melton | Licensed Practical Nurse | 463 Ernest Biles Dr., Jackson, GA 30233 | 2010-10-27 |
1083864250 | Chastity Moore Brown | Dentist | 1520 Lucky Street, Griffin, GA 30233 | 2008-09-24 |
1568661320 | Joseph Fowlkes | Internal Medicine | 2978 Highway 36 W, Jackson, GA 30233 | 2007-07-12 |
1942386289 | Butts County Board of Commissioners | Ambulance | 154 Sylvan Drive, Jackson, GA 30233 | 2006-10-30 |
1841238300 | Jackson Pharmacy Services | Pharmacy | 22 Mulberry St., Jackson, GA 30233 | 2006-06-04 |
Find all providers in zip 30233 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629677893 | Jackson Healing Clinic LLC | Counselor | 2020 Cascade Dr, Jackson, MI 49203-3810 | 2020-10-20 |
1568069524 | Philip Ray Nicholas | Counselor | 19 Wood Duck Cv, Jackson, TN 38305-6632 | 2020-10-02 |
1184242711 | New Life Goals, LLC | Counselor | 504 Cooper Rd, Jackson, MS 39212-4704 | 2020-07-09 |
1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
1962023812 | Kandace Ross | Counselor | 528 Woodbury Rd, Jackson, MS 39206-4830 | 2020-05-01 |
1629600945 | Modern Hope of Ms,llc | Counselor | 5825 Kings Pl, Jackson, MS 39211-3321 | 2020-02-05 |
1003447657 | Chandler & Associates, LLC | Counselor | 1900 Dunbarton Dr Ste G, Jackson, MS 39216-5015 | 2020-02-03 |
1659910701 | Laura E Rutledge | Counselor | 1437 Old Square Rd Ste 101, Jackson, MS 39211-5533 | 2020-01-06 |
1154960961 | Timothy A Norris | Counselor | 5026 Raintree Dr, Jackson, MS 39272-5753 | 2019-12-26 |
1982243838 | Paula Jane Blocker | Counselor | 401 West St Ste 117, Jackson, MN 56143-1219 | 2019-12-24 |
Find all providers in JACKSON |
Please comment or provide details below to improve the information on LINDSEY WOLD.
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.