OLIVIA DEHAVILLAND STEWART (NPI# 1942225974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942225974 |
| Entity Type | Individual |
| Full Name | OLIVIA DEHAVILLAND STEWART |
| Credential | LPC |
| Practice Address |
1268 Grindenwald Dr Jonesboro GA 30238-8037 |
| Practice Telephone | 7709123634 |
| Practice Fax Number | 6786101633 |
| Mailing Telephone | 7709123634 |
| Mailing Fax Number | 6786101633 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC 004134 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 477163794A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902300940 | Olivia Stewart | Nurse Practitioner | 4230 Harding Pike Ste 435, Nashville, TN 37205 | 2018-03-23 |
| Street Address |
1268 GRINDENWALD DR |
| City | JONESBORO |
| State | GA |
| Zip Code | 30238-8037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366969636 | K&p Gentle Hnads Homecare | Home Health | 772 Pointe South Pkwy, Apt. 501, Jonesboro, GA 30238 | 2017-08-27 |
| 1568991214 | Rehab Medical, Inc | Durable Medical Equipment & Medical Supplies | 8568 Highway 85, Jonesboro, GA 30238 | 2017-06-07 |
| 1821472077 | Surgivue First Assisting | Nurse Practitioner | 5865 Sinclair Way, Jonesboro, GA 30238 | 2015-07-17 |
| 1518384106 | Visions of Life Behavioral Health Services, Incorporated | Counselor | 754 Chapman Street, Jonesboro, GA 30238 | 2014-03-21 |
| 1942560206 | Terri L Lee | Counselor | 7899 Waterwheel Way, Jonesboro, GA 30238 | 2012-05-21 |
| 1265704985 | Visiting Homecare Support Services, Inc. | Home Health | 10886 Tara Village Way, Jonesboro, GA 30238 | 2012-01-27 |
| 1518297175 | Heavenly Assisted Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10555 Aspenwood Ct, Jonesboro, GA 30238 | 2010-01-05 |
| 1649419821 | Carmen Melton Douglas | Speech-Language Pathologist | 10354 Shepperton Court, Jonesboro, GA 30238 | 2009-02-12 |
| 1205050259 | Caryn Ann Grzesiakowski | Chiropractor | 809 Flint River Road, Suite #4, Jonesboro, GA 30238 | 2007-04-12 |
| 1548325483 | Janet Musser Granski | Social Worker | 110 North Bend Court, Jonesboro, GA 30238 | 2006-12-22 |
| Find all providers in zip 30238 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221931 | Smith Counseling Center | Counselor | 517 Southwest Dr Ste H, Jonesboro, AR 72401-5858 | 2020-09-24 |
| 1548895667 | The Practice: Therapeutic Counseling Services | Counselor | 1407 Marketplace Dr Ste 2, Jonesboro, AR 72401-5271 | 2020-03-09 |
| 1235769332 | Hilde Nicole White | Counselor | 3707 Harrisburg Rd, Jonesboro, AR 72404-8463 | 2020-01-17 |
| 1750929196 | Finetra Chambers | Counselor | 194 Jonesboro Rd Ste A7, Jonesboro, GA 30236-2401 | 2019-12-17 |
| 1881245942 | Business Management Consultants, LLC | Counselor | 409 Arrowhead Blvd Ste C1&c2, Jonesboro, GA 30236-1255 | 2019-09-20 |
| 1275181216 | Nc Counseling Services, Pllc | Counselor | 2917 King St Ste Cd, Jonesboro, AR 72401-5322 | 2019-09-03 |
| 1730642588 | Camille Jewel Rowe | Counselor | 9339 Basswood Way, Jonesboro, GA 30236-6194 | 2019-04-09 |
| 1083185656 | Pia Bhatti | Counselor | 560 Highway 138 W, Jonesboro, GA 30238-2222 | 2018-12-07 |
| 1609342310 | Kasandra Haynes | Counselor | 4217 Oakhill Ln, Jonesboro, AR 72401-8806 | 2018-10-19 |
| 1730616798 | The Mentalists Group LLC | Counselor | 124 S Main St Ste 2d, Jonesboro, GA 30236-3502 | 2017-05-20 |
| Find all providers in JONESBORO | ||||
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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.