Providence Psychotherapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFT1001494 Issued in GA

Legal business name

PROVIDENCE PSYCHOTHERAPY LLC

Practice address

304 Cheshire Dr
Warner Robins, GA 31088-1158

Phone

(478) 396-8388

Fax

(478) 971-4567

NPI assigned

Jan 9, 2017

Organization subpart

No

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

Authorized official

Name

Patti McCurdy, LMFTNPI 1164824363

Title

Owner/Therapist

Phone

(478) 396-8388

Specialties & licenses 1

Addresses

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.

• Patti S McCurdy, LMFT

  • Marriage & Family Therapist
  • Warner Robins, GA
  • NPI 1164824363
  Authorized official Same address or phone

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1245776665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CHESHIRE DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310881158",
            "telephone_number": "478-396-8388",
            "fax_number": "478-971-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CHESHIRE DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310881158",
            "telephone_number": "478-396-8388",
            "fax_number": "478-971-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "MCCURDY",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "478-396-8388",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "MFT1001494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Warner Robins, GA
• Providers in Warner Robins, 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 Jan 9, 2017; 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.