Active NPI
Behavioral Learned Management LLC
- Community/Behavioral Health Agency
- Macon, GA
National Provider Identifier
1225763162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BEHAVIORAL LEARNED MANAGEMENT LLC
- Practice address
- 620 Nicholas LN
Macon, GA 31216-7383 - Phone
- (478) 731-2087
- NPI assigned
- Jul 22, 2022
- Last updated
- Jul 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Terrell Dameon Smith, LCSW
- Title
- Owner
- Phone
- (478) 731-2087
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
620 Nicholas LN
Macon, GA 31216-7383
Mailing address
620 Nicholas LN
Macon, GA 31216-7383
Phone (478) 731-2087
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Clinical Social Worker
- Macon, GA
- NPI 1497344477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658448000000",
"number": "1225763162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 NICHOLAS LN",
"city": "MACON",
"state": "GA",
"postal_code": "312167383",
"telephone_number": "478-731-2087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 NICHOLAS LN",
"city": "MACON",
"state": "GA",
"postal_code": "312167383",
"telephone_number": "478-731-2087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL LEARNED MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-22",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "TERRELL",
"authorized_official_middle_name": "DAMEON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-731-2087",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.