Provider Demographics
NPI:1326481318
Name:WARD-TIMMONS, ADA (EDD)
Entity Type:Individual
Prefix:DR
First Name:ADA
Middle Name:
Last Name:WARD-TIMMONS
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6645 1ST AVE N
Mailing Address - Street 2:UNIT 210
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-8311
Mailing Address - Country:US
Mailing Address - Phone:727-643-2142
Mailing Address - Fax:
Practice Address - Street 1:2510 1ST AVE S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-1106
Practice Address - Country:US
Practice Address - Phone:727-289-1164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health