Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITASHA D. WOOTEN
Active Sole ProprietorKAITASHA D. WOOTEN is a Addiction (Substance Use Disorder) Counselor healthcare provider located in STOCKBRIDGE, Georgia. NPI 1770313447 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · STOCKBRIDGE, GA
Registration Details
- NPI Number
- 1770313447
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2024 (2.0534050217753 yrs)
- Last Updated
- Aug 6, 2024
- License
-
1146 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1233 EAGLES LANDING PKWYSTOCKBRIDGE, GA, 302816399Browse GA providers · Browse ZIP 30281
- Phone
- 4049056046
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in STOCKBRIDGE, GA
| Name | Credential | NPI |
|---|---|---|
| MALINDA BLACK BARNES | CADC-T | 1164252821 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.