Organization Active NPI

Healing in the Boro LLC

  • Community/Behavioral Health Agency
  • Statesboro, GA
National Provider Identifier
1164291183
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEALING IN THE BORO LLC
Practice address
1512 Cambridge Rd
Statesboro, GA 30461-0902
Phone
(912) 581-1565
NPI assigned
Jan 2, 2024
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Jimi Byrnes, LPCNPI 1720239569
Title
Owner
Phone
(912) 581-1565

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1512 Cambridge Rd
Statesboro, GA 30461-0902

Mailing address

1512 Cambridge Rd
Statesboro, GA 30461-0902
Phone (912) 581-1565

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1164291183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 CAMBRIDGE RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304610902",
            "telephone_number": "912-581-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 CAMBRIDGE RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304610902",
            "telephone_number": "912-581-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING IN THE BORO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-09",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "JIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-581-1565",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.