DR. SANDRA KAY MAYNARD (NPI# 1780042408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780042408 |
| Entity Type | Individual |
| Full Name | DR. SANDRA KAY MAYNARD |
| Credential | PH.D,LPC, NCC |
| Practice Address |
Rr 2 Box 980 Omar WV 25638-9707 |
| Practice Telephone | 3047857702 |
| Mailing Telephone | 3047857702 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
217 | WV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679698781 | Sandra Dee Maynard | Licensed Practical Nurse | 623 Essman Sugar Camp Rd, South Webster, OH 45682-9032 | 2007-03-20 |
| 1699201954 | Sandra Lunette Maynard | Pharmacist | 7083 W 48th St, Fremont, MI 49412-9508 | 2017-05-05 |
| 1013228626 | Sandra Maynard | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2010-06-29 |
| Street Address |
RR 2 BOX 980 |
| City | OMAR |
| State | WV |
| Zip Code | 25638-9707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457719189 | Renewed Hope Counseling Centers | Community/Behavioral Health | Rr 2 Box 980, Omar, WV 25638-9707 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647611 | Ruth Carol Booth | Technician | 151 Maysburg Road, Omar, WV 25638 | 2020-10-19 |
| 1134732621 | Frances Louise Hager | Technician | 140 Sandy Bottom Road, Omar, WV 25638 | 2020-08-25 |
| 1154934628 | Kimberly Louise Hensley | Technician | 106 Lumber Camp Circle, Omar, WV 25638 | 2020-08-25 |
| 1568073435 | Debra S Dillon | Technician | 20 Sandy Bottom, Omar, WV 25638 | 2020-08-13 |
| 1558973347 | Delsie Jean Grimmett | Technician | 1081 Cow Creek Rd, Omar, WV 25638-8407 | 2020-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647611 | Ruth Carol Booth | Technician | 151 Maysburg Road, Omar, WV 25638 | 2020-10-19 |
| 1134732621 | Frances Louise Hager | Technician | 140 Sandy Bottom Road, Omar, WV 25638 | 2020-08-25 |
| 1154934628 | Kimberly Louise Hensley | Technician | 106 Lumber Camp Circle, Omar, WV 25638 | 2020-08-25 |
| 1558973347 | Delsie Jean Grimmett | Technician | 1081 Cow Creek Rd, Omar, WV 25638-8407 | 2020-08-21 |
| 1568073435 | Debra S Dillon | Technician | 20 Sandy Bottom, Omar, WV 25638 | 2020-08-13 |
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902348 | Evangeline Miller Reed | Counselor | 525 Dry Hill Rd, Beckley, WV 25801-2027 | 2020-11-03 |
| 1154921013 | Lakiah Edwin-bankston | Counselor | 92 9th St, Beckley, WV 25801-3900 | 2020-10-29 |
| 1124628151 | Kierra Alexis Coles | Counselor | 206 W Burke St, Martinsburg, WV 25401-3322 | 2020-10-28 |
| 1801406574 | Amber Lynn Dingess | Counselor | 72 Drew Drive, Chapmanville, WV 25508-1061 | 2020-08-06 |
| 1679183677 | Tracy Wolford | Counselor | 203 Main Ave, Logan, WV 25601-3311 | 2020-08-04 |
| 1285261271 | Carol Ann Lewis | Counselor | 158 Academy Lane, Route 3, Pence Springs, WV 24962-2496 | 2020-03-27 |
| 1235765926 | Sydney Menigoz | Counselor | 235 High St Ste 606, Morgantown, WV 26505-5429 | 2020-03-13 |
| 1265068001 | Rainelle Medical Center, Inc | Counselor | 149 Goheen St, Lewisburg, WV 24901-1661 | 2020-03-12 |
| 1760013783 | Vanesa Marie Stover | Counselor | 70 Limeberger Creek Rd, Poca, WV 25159-7228 | 2020-01-29 |
| 1285264572 | Hometown Healing, LLC | Counselor | 3790 Hedgesville Rd # Sectionk, Hedgesville, WV 25427-6704 | 2020-01-25 |
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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.