MS. TARA TANKSLEY STALLINGS (NPI# 1861007064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861007064 |
| Entity Type | Individual |
| Full Name | MS. TARA TANKSLEY STALLINGS |
| Credential | MA PC , CCL |
| Practice Address |
1734 Jenkins St Augusta GA 30904-3736 |
| Mailing Address |
167 Jeanine Way Augusta GA 30909-2169 |
| Practice Telephone | 7062949924 |
| Mailing Telephone | 7062949924 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 167 Jeanine Way, Augusta, GA 309092169 | 7062949924 |
| Street Address |
1734 JENKINS ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-3736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180889 | Laurie A Spataro | Counselor | 855 Church Hill Rd, Augusta, ME 04330-8218 | 2020-09-30 |
| 1841815222 | Betty N Johnson | Counselor | 3351 Wrightsboro Rd Ste 300, Augusta, GA 30909-2800 | 2020-06-11 |
| 1508429614 | Bethany L Nixon | Counselor | 4043 Fairfax St, Augusta, GA 30907-2190 | 2019-04-16 |
| 1891252979 | Jefferson Williams Jr. | Counselor | 3634 Walton Way Ext, Augusta, GA 30909-1833 | 2019-02-26 |
| 1053895797 | Tammyria Jennings | Counselor | 8003 Reagan Cir, Augusta, GA 30909-2828 | 2018-09-19 |
| 1881104180 | Ronald Anthony Nurse | Counselor | 2905 Arrowhead Dr Apt E7, Augusta, GA 30909-2062 | 2017-10-02 |
| 1538415765 | Christopher Randall Carkhum | Counselor | 3110 Bellemeade Dr, Augusta, GA 30906-3101 | 2012-07-25 |
| 1245529106 | Erin Levenson Harms | Counselor | 1224 Augusta W Pkwy, Augusta, GA 30909 | 2011-03-31 |
| 1982924361 | Tracey Taylor Carter | Counselor | 1265 Interstate Pkwy Ste B, Augusta, GA 30909-6481 | 2010-06-08 |
| 1780836577 | Peter E Lawlor | Counselor | 1156 Henry St, Augusta, KS 67010-1414 | 2008-10-13 |
| Find all providers in AUGUSTA | ||||
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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.