Palm Tree Psychological

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PALM TREE PSYCHOLOGICAL

Practice address

410 S Sherman St
Fitzgerald, GA 31750-3352

Phone

(229) 426-0002

NPI assigned

Sep 23, 2014

Organization subpart

No

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

Authorized official

Name

Sally Walker

Title

Counselor

Phone

(229) 426-0002

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Denise Charles, MS, CAMS

  • Rehabilitation Counselor
  • Fitzgerald, GA
  • NPI 1730604943
  NPD (past)
• Reba Nelson

  • Marriage & Family Therapist
  • Fitzgerald, GA
  • NPI 1568882041
  NPD (past)
• Vanessa Y. Taylor

  • Mental Health Counselor
  • Valdosta, GA
  • NPI 1124538707
  NPD (past)
• Michael A Wells, MSW

  • Mental Health Counselor
  • Fitzgerald, GA
  • NPI 1144730250
  NPD (past)

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1205238078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S SHERMAN ST",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317503352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S SHERMAN ST",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317503352",
            "telephone_number": "229-426-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM TREE PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "229-426-0002"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norkus, Inc
• Norkus, Incorporated
• Saundra Oglesby
• Tobi A Okafo, M.D.
• Jude Ogho Okugbeni, M.D.
• William W Parham, D.O.
• Heath Jackson Parrish, FNP-C
• Maebry Paulk
• Timothy Jay Perry, O.D.
• Tiffany Peters, PHARMD

• Community/Behavioral Health Agency in Fitzgerald, GA
• Providers in Fitzgerald, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.