NPIMap

Organization Active NPI

Nurture Behavioral Health and Education Services, LLC

  • Early Intervention Provider Agency
  • Saint Marys, GA
National Provider Identifier
1154959112
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
NURTURE BEHAVIORAL HEALTH AND EDUCATION SERVICES, LLC
Practice address
1201 Shadowlawn Dr Ste 112
Saint Marys, GA 31558-4074
Phone
(912) 409-7889
Fax
(404) 953-6258
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Amber Brown, BCBANPI 1700371192
Title
Owner/Executive Director
Phone
(678) 570-7417

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
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1201 Shadowlawn Dr Ste 112
Saint Marys, GA 31558-4074

Mailing address

PO Box 5042
Saint Marys, GA 31558-5042
Phone (912) 409-7889

National Provider Directory

National Provider Directory

Locations

1201 Shadowlawn Dr
Ste 112
Saint Marys, GA 31558
Phone (912) 409-7889

Practitioners & affiliated clinicians

Practitioners 4

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": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1154959112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5042",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315585042",
            "telephone_number": "912-409-7889",
            "fax_number": "404-953-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SHADOWLAWN DR STE 112",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584074",
            "telephone_number": "912-409-7889",
            "fax_number": "404-953-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURE BEHAVIORAL HEALTH AND EDUCATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-570-7417",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.