Paul Anderson Family Strong Center, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PAUL ANDERSON FAMILY STRONG CENTER, INC.

Practice address

104 E 2ND St
Vidalia, GA 30474-4709

Phone

(912) 537-7237

NPI assigned

Jun 3, 2015

Organization subpart

No

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

Authorized official

Name

Drew S. Read

Title

Chief Operating Officer

Phone

(912) 537-7237

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1326428467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1126",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304751126",
            "telephone_number": "912-537-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 2ND ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744709",
            "telephone_number": "912-537-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL ANDERSON FAMILY STRONG CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "READ",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "912-537-7237"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC006920",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Vidalia, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.