Active NPI
Vantage Behavioral Health
- Psychiatric/Mental Health Nurse Practitioner
- Griffin, GA
National Provider Identifier
1033013248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- VANTAGE BEHAVIORAL HEALTH
- Practice address
- 120 E Taylor St Ste B
Griffin, GA 30223-3413 - Phone
- (404) 999-4061
- Fax
- (770) 215-5763
- NPI assigned
- Oct 3, 2026
- Last updated
- Oct 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Valerien Diane Moore, DNP, PMHNP-BC
- Title
- Owner/Provider
- Phone
- (404) 999-4061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
120 E Taylor St Ste B
Griffin, GA 30223-3413
Mailing address
120 E Taylor St Ste B
Griffin, GA 30223-3413
Phone (404) 999-4061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790985600000",
"number": "1033013248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E TAYLOR ST STE B",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302233413",
"telephone_number": "404-999-4061",
"fax_number": "770-215-5763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E TAYLOR ST STE B",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302233413",
"telephone_number": "404-999-4061",
"fax_number": "770-215-5763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANTAGE BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-03",
"last_updated": "2026-10-03",
"certification_date": "2026-10-03",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "VALERIEN",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "404-999-4061",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.