ANNETTE WALLS (NPI# 1346629219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346629219 |
| Entity Type | Individual |
| Full Name | ANNETTE WALLS |
| Credential | MAPC |
| Practice Address |
800 S 45th St Mount Vernon IL 62864-6704 |
| Mailing Address |
115 W Saint Louis St Apartment A Lebanon IL 62254-1514 |
| Practice Telephone | 6182423284 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386780864 | Annette Walls | Speech-Language Pathologist | 100 Brown St, Medical Bldg., Chestertown, MD 21620-1435 | 2007-01-30 |
| Street Address |
800 S 45TH ST |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-6704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528308293 | Lacy Dawn Woolsey | Counselor | 800 S 45th St, Mount Vernon, IL 62864-6704 | 2013-02-18 |
| 1861895757 | Chelsea Mcmahon | Counselor | 800 S 45th St, Mount Vernon, IL 62864-6704 | 2014-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790264 | Latasha Nicole Lyons | Counselor | 1004 Mulligan Dr, Mount Vernon, IL 62864-2099 | 2020-05-05 |
| 1346717147 | Worthy Life Wellness, Pllc | Counselor | 4114 N Water Tower Pl Ste F, Mount Vernon, IL 62864-6548 | 2018-10-30 |
| 1659741221 | Shonda Lafaye Madison | Counselor | 1110 N Minnie St, Mount Vernon, GA 30445-2716 | 2015-09-25 |
| 1528308293 | Lacy Dawn Woolsey | Counselor | 800 S 45th St, Mount Vernon, IL 62864-6704 | 2013-02-18 |
| 1578861985 | Daniel Carr | Counselor | 707 Highway 37 South, Mount Vernon, TX 75457 | 2011-03-09 |
| 1871897371 | Jessica Ashlock | Counselor | 201 N 27th St, Mount Vernon, IL 62864-2941 | 2010-12-27 |
| 1902108657 | Suellen Nichole Wilcox | Counselor | 118 E High St, Mount Vernon, OH 43050-3443 | 2010-12-01 |
| 1326367467 | Mary Lynn Philbeck | Counselor | 50 Lovell Ct, Mount Vernon, KY 40456-2964 | 2010-05-28 |
| 1700042082 | Thomas Lee Haan | Counselor | 1621 Freeway Dr Ste 101c, Mount Vernon, WA 98273-2462 | 2008-08-06 |
| 1326219544 | Jalane Speaks | Counselor | 278 Beiting Ln, Mount Vernon, KY 40456-6376 | 2008-03-15 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on ANNETTE WALLS.
| 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.