KELLY MARIE SHEAKS MMFT
NPI 1376388066
Counselor - Mental Health in Valdosta, GA

Active since June 26, 2024
111 WOODROW WILSON DR STE A, VALDOSTA, GA 31602(229) 560-5410 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Marie Sheaks Mmft NPPES

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

KELLY MARIE SHEAKS MMFT (NPI 1376388066) is an individual mental health provider in Valdosta, Georgia and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1376388066
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY MARIE SHEAKSCredential: MMFT
Location Address111 WOODROW WILSON DR STE AValdosta, GA 31602-2583
Mailing Address111 Woodrow Wilson Dr Ste AValdosta, GA 31602-2583 · (229) 560-5410
Sole ProprietorNo
Enumeration DateJune 26, 2024
NPPES CertifiedJune 26, 2024
NPI 1376388066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
111 WOODROW WILSON DR STE A, Valdosta, GA 31602

Other Providers at the Same Location NPPES 3

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

Counselor (Professional)
111 WOODROW WILSON DR STE A
VALDOSTA, GA 31602
Counselor (Mental Health)
111 WOODROW WILSON DR STE A
VALDOSTA, GA 31602
Social Worker (Clinical)
111 WOODROW WILSON DR STE A
VALDOSTA, GA 31602

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 Kelly Sheaks's NPI number?

The NPI number for Kelly Sheaks is 1376388066. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Kelly Sheaks located?

Kelly Sheaks practices at 111 Woodrow Wilson Dr Ste A, Valdosta, GA 31602. The listed phone number is (229) 560-5410.

What is Kelly Sheaks'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 Kelly Sheaks was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.