MEDICARE: ISADORA BURNHAM LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFT001771	GA

General Provider Information

NPI Number	:	1881210102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISADORA BURNHAM LMFT

Provider Business Mailing Address
First Line	:	1007 MARY ST
Second Line	:
City	:	WAYCROSS
State	:	GA
Zip	:	31503-3823
Country	:	US
Telephone Number	:	912-449-7111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 SHIRLEY AVE
Second Line	:
City	:	DOUGLAS
State	:	GA
Zip	:	31533-2123
Country	:	US
Telephone Number	:	912-449-7111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2020
Last Update Date	:	06/23/2020

Similar Medicare Providers

1316976699 — COFFEE COUNTY BOARD OF HEALTH
Practice Location Address:

1003 SHIRLEY AVE
DOUGLAS, GA
31533-2123

Practice Phone: 912-389-4586
Practice Fax: 913-389-4590

1154862894 — REGINA ANN STONE FNP-C
Practice Location Address:

1003 SHIRLEY AVE
DOUGLAS, GA
31533-2123

Practice Phone: 912-389-4586
Practice Fax: 912-389-4590

1316509037 — DR. MELISSA MILLER MCKINNEY PSY.D., LPC
Practice Location Address:

1005 SHIRLEY AVE
DOUGLAS, GA
31533-2123

Practice Phone: 325-792-3982
Practice Fax:

1174758304 — JENNIFER JO ELIZABETH SALMON MS, PLPC
Practice Location Address:

2123 N DOUGLAS AVE
SPRINGFIELD, MO
65803-1431

Practice Phone: 417-849-3765
Practice Fax:

1770256844 — ASHLEY BARTLEY
Practice Location Address:

212 DOUGLAS DR
TUSCOLA, IL
61953-2123

Practice Phone: 217-493-8811
Practice Fax:

1477419646 — MRS. MIRANDI TAYLOR
Practice Location Address:

1101 OCILLA RD
DOUGLAS, GA
31533-2262

Practice Phone: 912-384-1900
Practice Fax:

Directions to “ ISADORA BURNHAM LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.