DR. LYNYETTA G WILLIS (NPI# 1598098949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598098949 |
| Entity Type | Individual |
| Full Name | DR. LYNYETTA G WILLIS |
| Credential | PHD |
| Practice Address |
308 Clairemont Ave Decatur GA 30030-2506 |
| Mailing Address |
2107 N Decatur Rd Suite 259 Decatur GA 30033-5305 |
| Practice Telephone | 6785492209 |
| Mailing Telephone | 6785492209 |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2010-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY003209 | GA | Behavioral Health & Social Service Providers |
| Street Address |
308 CLAIREMONT AVE |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740846096 | Melissa Davis | Counselor | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2019-05-13 |
| 1174088843 | Elizabeth Bull | Counselor | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2019-02-06 |
| 1053825786 | Kaitlyn Carissa Morris | Counselor | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2017-11-16 |
| 1053822833 | Sara Morgan | Counselor | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2017-10-19 |
| 1134557374 | Christine Alberi Bruso | Social Worker | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2013-10-25 |
| 1730517962 | Kimberly Ann Evans | Counselor | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2013-10-25 |
| 1164850368 | Elizabeth Champ | Counselor | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2013-10-24 |
| 1295163517 | David Graham Nelson | Counselor | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2013-10-23 |
| 1669727996 | Piper Mccrillis School, Inc. | Community/Behavioral Health | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2012-07-24 |
| 1356604334 | Courtney Brooke Chambless | Psychologist | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2012-06-24 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
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| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619177409 | Shirley Jean Jordan | Psychologist | 506 N Miller St, Decatur, TX 76234-1114 | 2007-07-20 |
| 1245285295 | Mark Jacob | Psychologist | 801 Church Street, Suite 1, Decatur, AL 35602 | 2006-05-24 |
| 1952393308 | Michal Ann O'leary | Psychologist | 1945 Mason Mill Rd, Suite 100, Decatur, GA 30033-4006 | 2005-08-20 |
| 1548269418 | Cynthia Kay Valley | Psychologist | 1549 Clairmont Rd, Suite 108, Decatur, GA 30033-4639 | 2005-07-21 |
| 1841807591 | Mallorie Gayle Carroll | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-09-28 |
| 1164036570 | Rachel Heatherly | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-09-02 |
| 1033462486 | Karuna Counseling, Inc. | Psychologist | 1945 Mason Mill Rd Ste 100, Decatur, GA 30033-4075 | 2012-10-23 |
| 1093087876 | Kathryn Ganske | Psychologist | 1549 Clairmont Rd, Suite 108, Decatur, GA 30033-4639 | 2012-02-08 |
| 1073807608 | Alaycia Deneen Reid | Psychologist | 315 W Ponce De Leon Ave, Decatur Court, Suite 552, Decatur, GA 30030-2400 | 2011-05-31 |
| 1801192661 | Luis Felipe Valdes | Psychologist | 2785 Lawrenceville Hwy, Suite 108, Decatur, GA 30033-2515 | 2011-01-26 |
| Find all providers in DECATUR | ||||
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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.