C&E Youth Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1300005661 Issued in GA

Legal business name

C&E YOUTH SERVICES LLC

Practice address

600 Dewey St.
Dublin, GA 31021

Phone

(478) 508-0152

NPI assigned

Mar 8, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Evette Moore-Woodruff, M.S. LPC

Title

Coo

Phone

(478) 508-0152

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1013258409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DEWEY ST.",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-508-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DEWEY ST.",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-508-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&E YOUTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "MOORE-WOODRUFF",
        "authorized_official_first_name": "EVETTE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "478-508-0152",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "1300005661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.