MILDRED ITASKA BOROWSKI (NPI# 1346704152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346704152 |
| Entity Type | Individual |
| Full Name | MILDRED ITASKA BOROWSKI |
| Credential | LPC |
| Practice Address |
3790 North Highway 41 Suite A Valdosta GA 31602 |
| Mailing Address |
113 Maple St Thomasville GA 31792-4120 |
| Practice Telephone | 2292621000 |
| Practice Fax Number | 2292621085 |
| Mailing Telephone | 2297402771 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC007236 | GA | Behavioral Health & Social Service Providers |
| Street Address |
3790 NORTH HIGHWAY 41 SUITE A |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| 1952701641 | Alan Vega | Military Health Care Provider | 3715 N Valdosta Rd Apt 82, Valdosta, GA 31602 | 2014-08-29 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154814226 | Family Insight, LLC | Counselor | 3350 Noble Way Ste A, Valdosta, GA 31605-7444 | 2018-06-12 |
| 1124538707 | Vanessa Y. Taylor | Counselor | 2601 Bemiss Rd Ste Q, Valdosta, GA 31602-1450 | 2017-10-09 |
| 1932592474 | Erica Gail Mortonson | Counselor | 3525 River Chase Dr, Valdosta, GA 31602-0801 | 2015-03-09 |
| 1104241975 | Bradford Coleman | Counselor | 1805 Green Cir, Valdosta, GA 31602-2734 | 2014-03-03 |
| 1497181960 | Demetria Miranda Hill | Counselor | 705 Lausanne Dr, Valdosta, GA 31601-4153 | 2013-09-17 |
| 1609210020 | Felicia Cora Ratliff | Counselor | 3904 Danube Cir, Valdosta, GA 31605-7065 | 2013-04-29 |
| 1174887483 | Lee Tyson Wade | Counselor | 1205 Baytree Road, #8, Valdosta, GA 31602 | 2012-07-02 |
| 1366760696 | Rachael Shingler Holloman | Counselor | 1803 Canterbury Dr Ste C, Valdosta, GA 31602-0505 | 2010-05-11 |
| 1437310588 | Connie Moore Spencer | Counselor | 3820 Merriman Ct, Valdosta, GA 31605-7703 | 2008-06-20 |
| 1922150671 | Judy A Bridges | Counselor | 401 Northside Dr, E, Valdosta, GA 31602-1871 | 2007-01-16 |
| Find all providers in VALDOSTA | ||||
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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.