ANGELA DAWN WALISKI (NPI# 1861586323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861586323 |
| Entity Type | Individual |
| Full Name | ANGELA DAWN WALISKI |
| Other Name | ANGIE DAWN WALISKI |
| Credential | LPC, PHD |
| Practice Address |
4960 Springhouse Dr. Springdale AR 72762 |
| Mailing Address |
Po Box 6430 Springdale AR 72766-6430 |
| Practice Telephone | 4797502020 |
| Practice Fax Number | 4798722441 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4798722441 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P0203010 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ARKANSAS BCBS | 5X701 | 01 |
| Street Address |
4960 SPRINGHOUSE DR. |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750400651 | William L Haak | Case Manager/Care Coordinator | 4960 Springhouse Dr., Springdale, AZ 72762 | 2007-03-29 |
| 1407915119 | Amanda Joanne Sobel | Case Manager/Care Coordinator | 4960 Springhouse Dr., Springdale, AR 72762 | 2006-12-08 |
| 1164581674 | Greg Allen Schader | Case Manager/Care Coordinator | 4960 Springhouse Dr., Springdale, AR 72764 | 2006-12-08 |
| 1770641565 | Pamela Diane Ratliffe-warner | Case Manager/Care Coordinator | 4960 Springhouse Dr., Springdale, AR 72762 | 2006-12-05 |
| 1265590079 | Harold Leroy Alexander | Case Manager/Care Coordinator | 4960 Springhouse Dr., Springdale, AR 72762 | 2006-12-05 |
| 1679669246 | Leigh Anna Wade | Social Worker | 4960 Springhouse Dr., Springdale, AR 72762 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063881795 | Balanced Life Concepts | Counselor | 4306 Atchison Ave, Springdale, AR 72762-6643 | 2015-09-23 |
| 1295018042 | David Vance Crow | Counselor | 2002 S 48th St, Suite J, Springdale, AR 72762-5772 | 2011-09-27 |
| 1306176722 | Brandi K Harris | Counselor | 6815 Isaacs Orchard Rd, Suite B1, Springdale, AR 72762-6324 | 2010-01-07 |
| 1972640951 | Carrie Lynn Rye | Counselor | 3291 S Thompson St Ste E103, Springdale, AR 72764-7096 | 2007-01-31 |
| 1710095856 | Morgan Catlin Schroeder | Counselor | 4960 Springhouse Drive, Springdale, AR 72762 | 2006-08-28 |
| 1467465047 | Doris Ann Schuldt | Counselor | 2466 S. 48th St., Springdale, AR 72762 | 2006-08-14 |
| 1548783327 | Michelle N Derose | Counselor | 2400 S 48th St, Springdale, AR 72762-6683 | 2017-07-24 |
| 1518488022 | Megan Eileen Taylor | Counselor | 6733 Sunset Ridge Cir, Springdale, AR 72762-8162 | 2017-07-06 |
| 1417402892 | Brandy Scholl | Counselor | 2400 S 48th St, Springdale, AR 72762-6683 | 2016-08-16 |
| 1104265651 | Yocheved Julia Berlowitz | Counselor | 2400 S 48th St, Springdale, AR 72762-6683 | 2013-06-18 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on ANGELA DAWN WALISKI.
| 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.