MS. BETTY BEVERLY BENNETT (NPI# 1770620072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770620072 |
| Entity Type | Individual |
| Full Name | MS. BETTY BEVERLY BENNETT |
| Credential | LPC |
| Practice Address |
3145 Banks Rd Waycross GA 31503-6904 |
| Mailing Address |
Po Box 517 Waycross GA 31502-0517 |
| Practice Telephone | 9122812809 |
| Mailing Telephone | 9122812809 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC004684 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932350121 | Betty H Bennett | Specialist/Technologist | 5034 Debore Cir, New Orleans, LA 70126-3629 | 2008-10-06 |
| 1952417255 | Betty B Bennett | Registered Nurse | 32 Friar Tuck Dr, Savannah, GA 31406-3002 | 2006-08-21 |
| 1073886222 | Betty Bennett | Nurse Practitioner | 3525 Prytania St, Suite 526, New Orleans, LA 70115-3500 | 2012-02-20 |
| 1831100692 | Betty A Bennett | Nurse Practitioner | 20696 Bond Rd Ne, Ste 110, Poulsbo, WA 98370 | 2006-08-10 |
| Street Address |
3145 BANKS RD |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31503-6904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770855868 | Bertha Richardsaon | Community/Behavioral Health | 1614 Carswell Ave, Waycross, GA 31503 | 2012-02-03 |
| 1134365893 | Carla Pye Winn | Nurse Practitioner | 1003 Mary St, Waycross, GA 31503 | 2008-12-31 |
| 1801051297 | Unison Behavioral Health | Substance Abuse Rehabilitation Facility | 3455 Harris Road, Waycross, GA 31503 | 2008-07-24 |
| 1073650115 | Unison Behavioral Health | Community/Behavioral Health | 1003 Mary Street, Waycross, GA 31503 | 2007-01-30 |
| 1588701635 | Unison Behavioral Health | Community/Behavioral Health | 2033 Bell Street, Waycross, GA 31503 | 2007-01-30 |
| 1801933957 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 3201 Harris Road, Waycross, GA 31503 | 2007-01-30 |
| 1902943046 | Unison Behavioral Health | Community/Behavioral Health | 310 Williams Street, Waycross, GA 31503 | 2007-01-30 |
| 1285770578 | Unison Behavioral Health | Community/Behavioral Health | 305 N Nicholls Street, Waycross, GA 31503 | 2007-01-30 |
| 1538223672 | Diversified Resources, Inc. | Case Manager/Care Coordinator | 147 Knight Ave Cir, Waycross, GA 31503 | 2006-12-21 |
| 1669578167 | James Gregory Morris | Dentist | 2458 Memorial Drive, Waycross, GA 31503 | 2006-09-15 |
| Find all providers in zip 31503 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346671583 | Jessica J Frost | Counselor | 204 S Crawford St, Waycross, GA 31503-2612 | 2013-12-12 |
| 1144247016 | Judith L Hunt | Counselor | 1705 Boulevard Sq, Suite A, Waycross, GA 31501-8031 | 2006-07-16 |
| 1598249039 | Laura M Pearson | Counselor | 204 S Crawford St, Waycross, GA 31503-2612 | 2018-09-20 |
| 1134608367 | Latoya Lasha Woodard | Counselor | 1007 Mary Street, Waycross, GA 31503 | 2018-08-08 |
| 1043703416 | Stacie Norman | Counselor | 1003 Mary St, Waycross, GA 31503-3823 | 2018-06-11 |
| 1386046712 | James Lowther | Counselor | 1007 Mary St, Waycross, GA 31503-3823 | 2014-09-17 |
| 1841622115 | Corey J Strickland | Counselor | 1007 Mary St, Waycross, GA 31503-3823 | 2013-08-08 |
| 1841518669 | Michael Witherspoon | Counselor | 1007 Mary St, Waycross, GA 31503-3823 | 2010-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1780284513 | Hogue Counseling and Consulting Services, LLC | Counselor | 7861 Waterlace Dr, Fairburn, GA 30213-4648 | 2020-10-30 |
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| 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.