WENDY SUE AMUNDSON (NPI# 1790347557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790347557 |
Entity Type | Individual |
Full Name | WENDY SUE AMUNDSON |
Credential | MS, LPC |
Practice Address |
3615 Charles Hardy Pkwy Dallas GA 30157-9472 |
Mailing Address |
200 State St Ste 302 Boston MA 02109-2672 |
Practice Telephone | 8443757212 |
Enumeration Date | 2019-07-02 |
Last Update Date | 2019-07-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
003604 | GA | Behavioral Health & Social Service Providers |
Street Address |
3615 CHARLES HARDY PKWY |
City | DALLAS |
State | GA |
Zip Code | 30157-9472 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285651539 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3615 Charles Hardy Pkwy, Dallas, GA 30157-9472 | 2006-07-16 |
1174123749 | Lauren Leanne Nguyen | Pharmacist | 3615 Charles Hardy Pkwy, Dallas, GA 30157-9472 | 2020-10-31 |
1740880731 | Shamira Sarangi | Pharmacist | 3615 Charles Hardy Pkwy, Dallas, GA 30157-9472 | 2020-10-28 |
1316547557 | Jaci Michelle Dillard | Pharmacist | 3615 Charles Hardy Pkwy, Dallas, GA 30157-9472 | 2020-10-27 |
1386259562 | Angela Nicole Zeigler | Social Worker | 3615 Charles Hardy Pkwy, Dallas, GA 30157-9472 | 2020-09-14 |
1316590243 | Gregory Harold Lindsey | Counselor | 3615 Charles Hardy Pkwy, Dallas, GA 30157-9472 | 2019-07-19 |
1255984423 | Mc Do Optometry LLC | Optometrist | 3615 Charles Hardy Pkwy, Dallas, GA 30157-9472 | 2019-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
Find all providers in zip 30157 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
1497355754 | Charles Alexander Plafcan | Counselor | 5969 E Northwest Hwy Apt 1092, Dallas, TX 75231-7429 | 2020-10-27 |
1730788290 | Britton Michele Elliott | Counselor | 6318 Richmond Ave Unit 1203, Dallas, TX 75214-3686 | 2020-10-25 |
1619576634 | Kaitlin Short | Counselor | 2616 Colby St Apt 2105, Dallas, TX 75204-2664 | 2020-10-21 |
1356948061 | Mary Carlisle Reid-doulgas | Counselor | 7724 Dentcrest Dr, Dallas, TX 75254-8134 | 2020-10-06 |
1316550247 | Rodney Dean Beck | Counselor | 9814 Ridgehaven Dr, Dallas, TX 75238-2621 | 2020-08-29 |
1295348852 | Elizabeth Thompson | Counselor | 4100 Spring Valley Rd Ste 520, Dallas, TX 75244-3629 | 2020-08-24 |
1245840701 | Alaina Michelle Mount | Counselor | 9535 Forest Ln Ste 288, Dallas, TX 75243-5900 | 2020-08-08 |
1992314736 | Maritza Garcia | Counselor | 3850 W Nothwest Hwy, #3004, Dallas, TX 75220 | 2020-07-28 |
1316556582 | Zhen Barrientos | Counselor | 7141 Elliott Dr, Dallas, TX 75227-1806 | 2020-07-23 |
Find all providers in DALLAS |
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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.