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MR. DELTON WADE DE VOSE PHD, LPCS, CCS, BCTM
NPI 1194860759
Counselor - Professional in Martinez, GA

Active since February 21, 2007
4210 COLUMBIA RD STE 11B, MARTINEZ, GA 30907(706) 364-6576(888) 445-2452 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Delton Wade De Vose Phd, Lpcs, Ccs, Bctm NPPES

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

MR. DELTON WADE DE VOSE PHD, LPCS, CCS, BCTM (NPI 1194860759) is an individual professional provider in Martinez, Georgia, licensed in Georgia (007674) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1194860759
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. DELTON WADE DE VOSECredential: PHD, LPCS, CCS, BCTM
Location Address4210 COLUMBIA RD STE 11BMartinez, GA 30907-0443
Mailing Address4210 Columbia Rd Ste 11bMartinez, GA 30907-0443 · (919) 937-5486 · Fax (888) 445-2452
Phone(706) 364-6576
Fax(888) 445-2452
Sole ProprietorYes
Enumeration DateFebruary 21, 2007
Last NPPES UpdateSeptember 16, 2020
NPPES CertifiedAugust 28, 2020
✔ NPI 1194860759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in GA · 007674✔ Licensed in NC · 4985
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1658 (NC)
4210 COLUMBIA RD STE 11B, Martinez, GA 30907
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Other Identifiers 2

Medicaid6103058NC
Other3404922Bcbs

Other Providers at the Same Location NPPES 5

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

D. W. DE VOSE & ASSOCIATES, LLC
Counselor (Mental Health)
4210 COLUMBIA RD STE 11B
MARTINEZ, GA 30907
Columbia County (706) 364-6576
DR. TAMELA EVANS NCC, LPC, ED.D.
Counselor (Professional)
4210 COLUMBIA RD STE 11B
MARTINEZ, GA 30907
Columbia County (757) 470-4348
MARIA H MOJICA INTERN STUDENT
Student in an Organized Health Care Education/Training Program
4210 COLUMBIA RD STE 11B
MARTINEZ, GA 30907
Columbia County (706) 364-6576
DR. MARION CHRISTOPHER PUGH M.ED, ED.D
Counselor (Mental Health)
4210 COLUMBIA RD STE 11B
MARTINEZ, GA 30907
Columbia County (706) 364-6576
DR. NESHIKA L CONEY-DEVINE
Counselor (Mental Health)
4210 COLUMBIA RD STE 11B
MARTINEZ, GA 30907
Columbia County (706) 364-6576

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 Delton De Vose's NPI number?

The NPI number for Delton De Vose is 1194860759. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Delton De Vose located?

Delton De Vose practices at 4210 Columbia Rd Ste 11B, Martinez, GA 30907. The listed phone number is (706) 364-6576.

What is Delton De Vose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Delton De Vose was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.