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DR. MICHELLE RENEE WIDOWS PHD
NPI 1679806533
Psychologist - Clinical in Waycross, GA

Active since September 10, 2009
515 CITY BLVD STE B, WAYCROSS, GA 31501(912) 249-4400(912) 279-4448 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michelle Renee Widows Phd NPPES

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

DR. MICHELLE RENEE WIDOWS PHD (NPI 1679806533) is an individual clinical provider in Waycross, Georgia, licensed in Florida (PY6699) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1679806533
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHELLE RENEE WIDOWSCredential: PHD
Location Address515 CITY BLVD STE BWaycross, GA 31501-8016
Mailing Address515 City Blvd Ste BWaycross, GA 31501-8016 · (912) 249-4400 · Fax (912) 279-4448
Phone(912) 249-4400
Fax(912) 279-4448
Sole ProprietorNo
Enumeration DateSeptember 10, 2009
Last NPPES UpdateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1679806533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in FL · PY6699✔ Licensed in CO · 3155
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 3155 (CO), PY6699 (FL)
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License PY669 (FL), 3155 (CO)
515 CITY BLVD STE B, Waycross, GA 31501
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Other Names 1

Former Name (1)Dr. Michelle Renee Widows Moore Phd

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.

MRS. LATINA N HEARD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
515 CITY BLVD STE B
WAYCROSS, GA 31501
Ware County (912) 279-4400
DEBORAH MAINE LCSW
Social Worker (Clinical)
515 CITY BLVD STE B
WAYCROSS, GA 31501
Ware County (912) 279-4400
PHILLIP G. GROOMS M.D.
Emergency Medicine
515 CITY BLVD STE B
WAYCROSS, GA 31501
Ware County (912) 279-4400

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 Michelle Widows's NPI number?

The NPI number for Michelle Widows is 1679806533. It was assigned to this individual provider in the NPPES registry on September 10, 2009. The provider is also known as Dr. Michelle Renee Widows Moore Phd.

Where is Michelle Widows located?

Michelle Widows practices at 515 City Blvd Ste B, Waycross, GA 31501. The listed phone number is (912) 249-4400.

What is Michelle Widows's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Michelle Widows was last updated on May 1, 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.