Mikayla Renee Stovall

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC010161 Issued in GA

Practice address

1202 Town Park LN Ste 300
Evans, GA 30809-3477

Phone

(706) 210-8855

NPI assigned

Aug 17, 2023

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.

• Personal Recovery Network LLC

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  Professional

  NPD
• Kershaw County Commission on Alcohol and Drug Abuse

  • Community/Behavioral Health Agency
  • Camden, SC
  • NPI 1669424818
  NPD
• Kershaw County Commission on Alcohol and Drug Abuse

  • Addiction Medicine (Family Medicine) Physician
  • Camden, SC
  • NPI 1316889298

  Counselor

  NPD (past)

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1568245124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 KING ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204720",
            "telephone_number": "803-432-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 TOWN PARK LN STE 300",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093477",
            "telephone_number": "706-210-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "MIKAYLA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC010161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Stewart
• Andrew Philip Stickel, PT
• Melissa Lynn Stone, M.D.
• Christoph Ralph Stouder, CRNA
• Alyssa Stout, ATC
• Loren Miranda Strouble
• Sasha Sullivan
• Melissa Lampp Sumner, APRN, BC
• Sunny Smiles LLC
• Sunny Smiles LLC

• Professional Counselor in Evans, GA
• Providers in Evans, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.