NPIMap

Organization Active NPI

Daughters of the King Ministries Inc.

  • Clinical Child & Adolescent Psychologist
  • Americus, GA
National Provider Identifier
1043631625
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
13471797 Issued in GA
Legal business name
DAUGHTERS OF THE KING MINISTRIES INC.
Practice address
311 S Lee St
Apt C
Americus, GA 31709-3971
Phone
(229) 347-2480
NPI assigned
Dec 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Tonya Fulmore FavorsNPI 1720409493
Title
President
Phone
(229) 347-2480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X 13471797 GA Primary

Addresses

Primary practice location

311 S Lee St
Apt C
Americus, GA 31709-3971

Mailing address

323 Hosanna Cir
Americus, GA 31719-8277
Phone (229) 347-2480

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1043631625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 HOSANNA CIR",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317198277",
            "telephone_number": "229-347-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S LEE ST",
            "address_2": "APT C",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093971",
            "telephone_number": "229-347-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUGHTERS OF THE KING MINISTRIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "FAVORS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "FULMORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-347-2480"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "13471797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.