Allison Waltz, LPC
Individual provider Active NPI Professional Counselor · Brooks, GA
NPI 1942953229 · NPPES record last updated Nov 3, 2024
Key facts
- NPI
- 1942953229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1961671 (ID)
- Practice address
- 465 Tri County Rd
Brooks, GA 30205-2451 - Phone
- (404) 354-1286
- NPI assigned
- Jan 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1961671 | ID | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1961671 | ID | Yes |
| Doula | 374J00000X |
Addresses
Primary practice location
465 Tri County Rd
Brooks, GA 30205-2451
Mailing address
465 Tri County Rd
Brooks, GA 30205-2451
Phone (404) 354-1286
Other providers in Brooks, GA
- Lauretta Nester
- Gayle Anne Owen
- Pamela Ann Pendleton
- Joseph M Smith
- Talk It Up, Inc
- Laura Hicks Wilkinson
All providers in Brooks, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.