Teen Dreams Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TEEN DREAMS INCORPORATED

Practice address

716 Broad St
Augusta, GA 30901-5003

Phone

(803) 624-3806

NPI assigned

Dec 1, 2018

Organization subpart

No

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

Authorized official

Name

Aleeka Michelle Moody

Title

Founder/Ceo

Phone

(803) 341-5210

Specialties & licenses 1

Addresses

Other names 1

• Teen Dreams Doing business as

Locations

Practitioners 1

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

• Aleeka Williams, BCBA

  • Behavior Analyst
  • Martinez, GA
  • NPI 1104580786
  NPD

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

{
    "created_epoch": "1543622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543622400000",
    "number": "1235609355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 EDISTO DR",
            "city": "BELVEDERE",
            "state": "SC",
            "postal_code": "298412726",
            "telephone_number": "803-624-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 BROAD ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015003",
            "telephone_number": "803-624-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN DREAMS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-01",
        "last_updated": "2018-12-01",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "ALEEKA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "803-341-5210"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teen Dreams",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Nicole Taylor, APRN, AGPCNP-C
• Sylvester Taylor, APRN
• Tania Alicia Taylor, FNP-C
• Carter David Taysom, D.O.
• Team Investments
• Charles Rex Teeslink, M.D.
• Marybeth Teeters, COTA/L
• Aaron T Teklesenbet
• Telenutrition Therapy Inc
• Kayann Nicola Telfer, FNP

• Community/Behavioral Health Agency in Augusta, GA
• Providers in Augusta, 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 Dec 1, 2018; 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.