MARYDALENE D MCMAKIN (NPI# 1598057259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598057259 |
| Entity Type | Individual |
| Full Name | MARYDALENE D MCMAKIN |
| Credential | LMHC |
| Practice Address |
137 Hospital Dr. Ne Fort Walton Beach FL 32548-5063 |
| Practice Telephone | 8508337500 |
| Practice Fax Number | 8508337528 |
| Mailing Telephone | 8508337500 |
| Mailing Fax Number | 8508337528 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH10766 | FL | Behavioral Health & Social Service Providers |
| Street Address |
137 HOSPITAL DR. NE |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32548-5063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073718649 | William G Nauman | Social Worker | 137 Hospital Dr. Ne, Fort Walton Beach, FL 32548 | 2007-06-15 |
| 1093094906 | Theresa D Allen | Registered Nurse | 137 Hospital Dr. Ne, Fort Walton Beach, FL 32548 | 2011-08-09 |
| 1235399486 | Nataliya V Reno | Nurse Practitioner | 137 Hospital Dr. Ne, Fort Walton Beach, FL 32548 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718426 | Erica Darby | Pharmacist | Publix, 421 Mary Esther Cut Off, Fort Walton Beach, FL 32548 | 2020-07-30 |
| 1770136681 | Michael Cody Jones | Pharmacist | 251 Miacle Strip Pkwy Se, Fort Walton Beach, FL 32548 | 2019-07-19 |
| 1346714532 | Alison Ann Gould | Occupational Therapy Assistant | Emerald Coast Heath Care, 114 Third St, Fort Walton Beach, FL 32548 | 2019-01-22 |
| 1699217695 | Mayra Lopez | Dentist | Blvd. Gomez Morin #8569, Suite 6a, Juarez, CHIHUAHUA 32548 | 2016-11-08 |
| 1265808455 | Rajiv Tuladhar Dmd Holdings, Pllc | Dentist | 516 Mary Esther Blvd Ste 2, Fort Walton Beach, FL 32548 | 2015-08-11 |
| 1881090702 | Annette Peadro | Behavioral Analyst | 171 Brooks St, Suite 308, Fort Walton Beach, FL 32548 | 2014-11-05 |
| 1790037729 | Julie Bradfield | Counselor | 44 Shell Ave, Fort Walton Beach, FL 32548 | 2012-10-15 |
| 1740559582 | Beth Paula Ritenour | Pharmacist | 414 Mary Esther Cutoff Nw, C, Fort Walton Beach, FL 32548 | 2011-12-23 |
| 1891080867 | Okaloosa County Council On Aging | Home Health | 207 Hospital Drive, Fort Walton Beach, FL 32548 | 2011-06-17 |
| 1649580275 | Sharon Renee Wise | Counselor | 44 Shell Avenue Se, Fort Walton Beach, FL 32548 | 2010-10-17 |
| Find all providers in zip 32548 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053813808 | Amanda Rollins Dobler | Counselor | 107 Hughes St Ne, Fort Walton Beach, FL 32548-4455 | 2018-03-07 |
| 1003358185 | Melody Ray | Counselor | 350 Hollywood Blvd Se, Fort Walton Beach, FL 32548-5772 | 2016-11-07 |
| 1225585300 | Nancy Lynn Wess I | Counselor | 210 Watson Dr Nw, Fort Walton Beach, FL 32548-4238 | 2016-09-06 |
| 1497132450 | David I Copeland | Counselor | 348 Miracle Strip Pkwy Sw Ste 3, Fort Walton Beach, FL 32548-5253 | 2015-04-29 |
| 1588914006 | Shevon L. Peet | Counselor | 7 Vine Street, Fort Walton Beach, FL 32548-5070 | 2012-09-12 |
| 1730456393 | Rebekah Elizabeth Boes | Counselor | 128 Shell Ave Se, Fort Walton Beach, FL 32548-5543 | 2011-11-28 |
| 1649580275 | Sharon Renee Wise | Counselor | 44 Shell Avenue Se, Fort Walton Beach, FL 32548 | 2010-10-17 |
| 1205142742 | Ashley Lynne Brown | Counselor | 113 Hollywood Blvd Nw, Suite 205, Fort Walton Beach, FL 32548-4723 | 2010-08-22 |
| 1811173214 | Ann E Imburgio | Counselor | 11 1st St Se, Fort Walton Beach, FL 32548-5839 | 2008-01-15 |
| 1922201755 | Melanie Cassulo | Counselor | 326 Harbor Pl Sw, Fort Walton Beach, FL 32548-6504 | 2007-06-08 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32548 |
Please comment or provide details below to improve the information on MARYDALENE D MCMAKIN.
| 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.