MRS. WANDA W WALTON (NPI# 1760494785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760494785 |
| Entity Type | Individual |
| Full Name | MRS. WANDA W WALTON |
| Credential | LPC, CSAC |
| Practice Address |
1202 Richmond Street Selma VA 24474 |
| Mailing Address |
Po Box 427 Clifton Forge VA 24422-0427 |
| Practice Telephone | 5408622489 |
| Practice Fax Number | 5408623176 |
| Mailing Telephone | 5408622489 |
| Mailing Fax Number | 5408623176 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0710000347 | VA | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
0701001809 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 261941 | 01 |
| VA | VALUE OPTIONS | 052570 | 01 |
| Street Address |
1202 RICHMOND STREET |
| City | SELMA |
| State | VA |
| Zip Code | 24474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259844 | Elisa Hinojosa | Counselor | 8610 E Khan St, Selma, CA 93662-2028 | 2020-09-11 |
| 1982219432 | Alleta Nannette Mcbride | Transportation Broker | 1000 Medical Center Pkwy Apt 19, Selma, AL 36701-6752 | 2020-09-11 |
| 1194337204 | Samantha Armstrong | Behavior Technician | 2504 C St, Selma, CA 93662-3117 | 2020-08-19 |
| 1407468689 | Yasmeen Antheana-neshaygreen Brenson | Student in an Organized Health Care Education/Training Program | 206 Lakeview Ave, Selma, AL 36703-1705 | 2020-08-19 |
| 1730797200 | Shannon Gail Sauls | Counselor | 501 America Dr, Selma, NC 27576-6143 | 2020-07-21 |
| 1922625169 | Kaitlyn C Guffey | General Acute Care Hospital | 301 Fawnridge Trl, Selma, NC 27576-5759 | 2020-07-04 |
| 1093337529 | Yangda Pan | Pharmacist | 15810 Cardinal Pt, Selma, TX 78154-3489 | 2020-05-06 |
| 1750902623 | Lateshia Rochelle Horton | Chore Provider | 1120 Primrose Ter, Selma, AL 36703-4130 | 2020-05-02 |
| 1760002646 | Ashley Mckinstry | Registered Nurse | 605 Furniss Ave Apt 28c, Selma, AL 36701-5569 | 2020-04-21 |
| 1114546298 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 67 Jr Rd Ste 1200, Selma, NC 27576-3458 | 2020-04-09 |
| Find all providers in SELMA | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053682815 | Michael Na Daniels | Counselor | 105 Winter Ct, Selma, NC 27576-2189 | 2012-01-25 |
| 1598034118 | Lagreta Williams Cameron | Counselor | 1420a S Pollock St, Selma, NC 27576-3404 | 2011-12-28 |
| 1043485014 | James Adam Lassiter | Counselor | 602 S Sumner St, Selma, NC 27576-2947 | 2008-04-29 |
| 1487164877 | Prodigy Healthcare Inc. | Counselor | 3125 Wright St, Selma, CA 93662-2429 | 2017-10-11 |
| 1275952574 | Laura Ann Caldarera | Counselor | 1420a S Pollock St, Selma, NC 27576-3404 | 2014-04-15 |
| 1932535135 | Tiffani Mccormick | Counselor | 200 S Pollock St, Selma, NC 27576-3062 | 2013-09-19 |
| 1639374655 | Linda Chewning Nelson | Counselor | 1101 River Rd, Selma, NC 27576-3611 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457807 | Collaborative Point Counseling & Consulting | Counselor | 10509 Patterson Ave # 42302, Henrico, VA 23238-5103 | 2020-11-03 |
| 1558961441 | Savanna Martin | Counselor | 15105 Knickerbocker Dr, Woodbridge, VA 22193-1880 | 2020-10-29 |
| 1588264626 | Primary Addiction Treatment Center (p.a.t.) | Counselor | 525 Oyster Point Rd Ste D, Newport News, VA 23602-6014 | 2020-10-28 |
| 1881201275 | Harvest Care Counseling Center, LLC | Counselor | 12604 Prestonfield Dr, Chester, VA 23836-5856 | 2020-09-29 |
| 1588278311 | Abeba Fekade | Counselor | 2800 Eisenhower Ave Ste 210, Alexandria, VA 22314-4587 | 2020-08-31 |
| 1346858305 | Gwendolyn Daniels Slade | Counselor | 9 Canoe Ct, Portsmouth, VA 23703-5380 | 2020-07-16 |
| 1255949210 | Brian Jones | Counselor | 3322 Western Branch Blvd, Chesapeake, VA 23321-5142 | 2020-07-16 |
| 1346867058 | Kristin Fitzgerald | Counselor | 2320 Broad Rock Blvd, Richmond, VA 23224-4812 | 2020-06-29 |
| 1861019754 | Sandra Hill | Counselor | 6900 Mimms Dr, Chesterfield, VA 23832 | 2020-06-26 |
| 1699392571 | Tonya Elizabeth Goff | Counselor | 29 Hampshire Glen Pkwy, Hampton, VA 23669-4809 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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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.