Imago Dei Therapeutic Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

IMAGO DEI THERAPEUTIC SERVICES, LLC

Practice address

325 Hatcher Point Rd
Waycross, GA 31503-7959

Phone

(912) 286-3737

NPI assigned

Jun 18, 2026

Last updated

Jun 18, 2026By 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

Melissa A FoyNPI 1912721507

Title

Owner

Phone

(912) 286-3737

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Melissa A Foy, QBA

  • Behavior Analyst
  • Waycross, GA
  • NPI 1912721507
  NPD Authorized official

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1164358289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 JOYCE RD",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315032901",
            "telephone_number": "912-286-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HATCHER POINT RD",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315037959",
            "telephone_number": "912-286-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGO DEI THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "FOY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-286-3737"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith L Hunt, LMHC
• William C Hurst Sr., D.M.D.
• William Stephen Hutcheson, PA-C
• Lee Ann Hutto, LMSW
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• Behavior Analyst in Waycross, GA
• Providers in Waycross, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.