New Foundations Youth Center, Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NEW FOUNDATIONS YOUTH CENTER, INC

Practice address

5310 Golf Dr
Lake Park, GA 31636-3335

Phone

(229) 412-3452

NPI assigned

Aug 21, 2019

Last updated

Aug 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Sirmons, LPC

Title

Owner

Phone

(229) 412-3452

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Franklin Dewayne Brown, LPC

  • Professional Counselor
  • Lake Park, GA
  • NPI 1265054985
  NPD
• Sharon Brown, LMHC

  • Mental Health Counselor
  • Brinson, GA
  • NPI 1538325709

  Professional

  NPD

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1093362345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316030173",
            "telephone_number": "229-412-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 GOLF DR",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "316363335",
            "telephone_number": "229-412-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW FOUNDATIONS YOUTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "SIRMONS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-412-3452",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Lake Park, GA
• Providers in Lake Park, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.