Seedgrow Behavioral Services,LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

01-14-17610 Issued in GA

Legal business name

SEEDGROW BEHAVIORAL SERVICES,LLC

Practice address

505 Heatherdown Way
Riverdale, GA 30274-3592

Phone

(678) 435-9214

NPI assigned

Apr 2, 2016

Organization subpart

No

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

Authorized official

Name

Stephanie Knox, BCBANPI 1497116834

Title

Executive Director

Phone

(404) 565-6029

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Stephanie Nicole Knox, BCBA-D

  • Behavior Analyst
  • Columbus, GA
  • NPI 1497116834
  NPD (past) Authorized official

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459555200000",
    "number": "1194188532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 HEATHERDOWN WAY",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302743592",
            "telephone_number": "678-435-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HEATHERDOWN WAY",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302743592",
            "telephone_number": "678-435-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDGROW BEHAVIORAL SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-02",
        "last_updated": "2016-04-02",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-565-6029",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "01-14-17610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497116834",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13604699",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Lee Schroeder, OT
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• Morgan Scott, DPT
• Shatera Janee Scott
• Letty Searcy
• Adrene Sellers-Scott, MD
• Serenity Wellness Care LLC
• Serenity'S Place
• Rajinikanth Seshan, M.D.
• Sevil E.H Allergy Labs

• Community/Behavioral Health Agency in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2016; 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.