MS. SHAWNTELL PHOENIX-MARTIN (NPI# 1851613657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851613657 |
| Entity Type | Individual |
| Full Name | MS. SHAWNTELL PHOENIX-MARTIN |
| Credential | M.A., LPC |
| Practice Address |
2103 E Gwinnett St Savannah GA 31404-2527 |
| Practice Telephone | 9128560961 |
| Mailing Telephone | 9128560961 |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC004859 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2103 E GWINNETT ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| 1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
| 1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| 1548876964 | Al-nisa Monique Bailey | Counselor | 1704 Jasmine Trl, Savannah, TX 76227-7719 | 2020-09-21 |
| 1437768199 | Melissa R Eckroth | Counselor | 116 Dukes Way, Savannah, GA 31419-8953 | 2020-07-29 |
| 1316556343 | Anna Lila Black | Counselor | 9 Hetherington Ln, Savannah, GA 31411-1527 | 2020-07-27 |
| 1073130704 | John Warren Williams | Counselor | 1801 Abercorn St, Savannah, GA 31401-8121 | 2020-06-29 |
| 1922623644 | Skidaway Behavioral Institute LLC | Counselor | 3 Chatuachee Xing, Savannah, GA 31411-1602 | 2020-06-09 |
| 1467085449 | Rachel Harris | Counselor | 807 Goebel Ave, Savannah, GA 31404-2421 | 2020-02-18 |
| 1043841471 | Whitney Troutman Owens | Counselor | 2103 Bull St, Savannah, GA 31401-8530 | 2020-02-04 |
| 1881234425 | Robbins, Corse & Associates, LLC | Counselor | 7505 Waters Ave Ste C4, Savannah, GA 31406-3820 | 2020-01-12 |
| 1538704721 | Carmella Christensen | Counselor | 3228 Whitemarsh Way, Savannah, GA 31410-5219 | 2019-11-12 |
| Find all providers in SAVANNAH | ||||
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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.