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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DEEPER WATERS EMDR
NPI 1083544563
Counselor - Mental Health in Baxley, GA

Active since May 19, 2026
9 NE PARK AVE, BAXLEY, GA 31513(912) 278-4739 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deeper Waters Emdr NPPES

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

DEEPER WATERS EMDR (NPI 1083544563) is a healthcare organization registered as a mental health in Baxley, Georgia and active in the NPI registry since May 2026. The organization lists Angela Candace Thornton, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1083544563
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameDEEPER WATERS EMDR
Location Address9 NE PARK AVEBaxley, GA 31513-0003
Mailing Address467 Pine St Lot 10Baxley, GA 31513-7077 · (912) 278-4739
Phone(912) 278-4739
Organization SubpartNo
Authorized OfficialAngela Candace ThorntonLicensed Professional Counselor · (912) 937-4708
Enumeration DateMay 19, 2026
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1083544563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
9 NE PARK AVE, Baxley, GA 31513
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Deeper Waters Emdr's NPI number?

The NPI number for Deeper Waters Emdr is 1083544563. It was assigned to this organization in the NPPES registry on May 19, 2026.

Where is Deeper Waters Emdr located?

Deeper Waters Emdr is located at 9 NE Park Ave, Baxley, GA 31513. The listed phone number is (912) 278-4739.

What is Deeper Waters Emdr's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Deeper Waters Emdr was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.