Healthcare Provider Details

I. General information

NPI: 1295501245
Provider Name (Legal Business Name): TAMIA STOKES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2023
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 712
BONAIRE GA
31005-0712
US

IV. Provider business mailing address

PO BOX 712
BONAIRE GA
31005-0712
US

V. Phone/Fax

Practice location:
  • Phone: 404-710-7078
  • Fax:
Mailing address:
  • Phone: 404-710-7078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC011049
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: