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NPI Profile for VITAL INC in VALDOSTA, GA.
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cognitive & Behavioral |
103TB0200X | 62 | Psychologist, Clinical | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Drama Therapist |
101200000X | |||
Pastoral |
101YP1600X | |||
Professional |
101YP2500X |
| NPI # | 1528820677 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/24/2024 | |
| Last updated | 01/24/2024 - About 2 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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VITAL INC.
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| SHELAINE V DAVIS, CEO TRACKSS HOME CAR 1635 EAST PARK VALDOSTA. GA A9 VALDOSTA, GA |
| LEE T WADE, LPC 1205 BAYTREE ROAD VALDOSTA, GA |
| MILDRED I BOROWSKI, LPC 3790 NORTH HIGHWAY 41 VALDOSTA, GA |
| BIANCA BARTON 3790 OLD US HIGHWAY 41 N STE A VALDOSTA, GA |
| ANDREA J RAMIREZ, ED.D;LPC 1301 MELODY LN STE B VALDOSTA, GA |
| CLARISSA Y ALDERMAN, MS, EDS, ICAADC 4107 N FORREST RUN CIRCLE VALDOSTA, GA |
| STEPHANIE DUISTERHOF, EDS, LCMHC 111 VALDOSTA RD VALDOSTA, GA |
| KATRINA D BROWN, PHD 3278 MITCHELL BLVD MOODY, GA |
| JENNIFER M METIVIER, LCSW 4851 BURRELL ST, BLDG 404, MOODY AFB VALDOSTA, GA |
| JENNIFER WASHINGTON 6675 BROOKRIDGE DRIVE HAHIRA, GA |
VITAL INC.