KARA LINDSEY WOMACK


Address: 108 Celestial Ridge Dr, Dallas, GA 30132-2102
Phone: 4702192749

KARA LINDSEY WOMACK (NPI# 1720645633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720645633
Entity Type Individual
Full Name KARA LINDSEY WOMACK
Practice Address 108 Celestial Ridge Dr
Dallas
GA 30132-2102
Practice Telephone 4702192749
Mailing Telephone 4702192749
Enumeration Date 2019-05-27
Last Update Date 2019-05-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 1770627515 05

Office Location

Street Address 108 CELESTIAL RIDGE DR
City DALLAS
State GA
Zip Code 30132-2102

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1881206928 Angela Grace Leach Counselor 6511 Walnut Hill Ln, Dallas, TX 75230-5318 2020-08-19
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Competitor

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City DALLAS
Zip Code 30132

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Dataset Information

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.

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