Wanda Davis Martin

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8824 Issued in LA

Practice address

712 First St
Delhi, LA 71232

Phone

(318) 878-6696

Fax

(318) 878-6698

NPI assigned

Dec 28, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• M & M Behavioral Health Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Delhi, LA
  • NPI 1154702710
  NPD Authorized official
• M & M Therapeutic Group Home, LLP

  • Mental Illness Community Based Residential Treatment Facility
  • Delhi, LA
  • NPI 1902591514
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1205105889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 FIRST ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712322421",
            "telephone_number": "318-878-6696",
            "fax_number": "318-878-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 FIRST ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "71232",
            "telephone_number": "318-878-6696",
            "fax_number": "318-878-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WANDA",
        "middle_name": "DAVIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M & M Behavioral Health Center LLC
• M & M Therapeutic Group Home, LLP
• Stacy Mackey
• Maddi Girl LLC
• Natasha Marshall
• Cynthia Matthews
• Audrey May
• Mia McCall, CNP
• Joni Hunter McDonald
• Kenneth E. McDonald III, M.D.

• Professional Counselor in Delhi, LA
• Providers in Delhi, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.