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JO-ANNA ELIZABETH BOUTWELL
NPI 1023902012
Counselor in Vidalia, GA

Active since June 05, 2025
204 DURDEN ST, VIDALIA, GA 30474(912) 253-6595 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jo-anna Elizabeth Boutwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JO-ANNA ELIZABETH BOUTWELL (NPI 1023902012) is an individual counselor in Vidalia, Georgia, licensed in Georgia (MFT002127) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1023902012
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJO-ANNA ELIZABETH BOUTWELL
Location Address204 DURDEN STVidalia, GA 30474-4608
Mailing Address204 Durden StVidalia, GA 30474-4608 · (912) 253-6595
Phone(912) 253-6595
Sole ProprietorNo
Enumeration DateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1023902012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in GA · MFT002127
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
204 DURDEN ST, Vidalia, GA 30474
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA CHRISTI MUSSER
Counselor (Mental Health)
204 DURDEN ST
VIDALIA, GA 30474
Toombs County (912) 537-9316
DONNALINE MACK LPC
Counselor (Professional)
204 DURDEN ST
VIDALIA, GA 30474
Toombs County (912) 432-3420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jo-anna Boutwell's NPI number?

The NPI number for Jo-anna Boutwell is 1023902012. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Where is Jo-anna Boutwell located?

Jo-anna Boutwell practices at 204 Durden St, Vidalia, GA 30474. The listed phone number is (912) 253-6595.

What is Jo-anna Boutwell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jo-anna Boutwell was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.