Second Wind Ministries, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

001491 Issued in GA

Legal business name

SECOND WIND MINISTRIES, INC.

Practice address

1044 Highway 54 West
Fayetteville, GA 30214-4515

Phone

(770) 716-6630

NPI assigned

Jul 25, 2008

Last updated

Jul 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Lamar Gunter, M.S.

Title

Executive Director

Phone

(770) 716-6630

Specialties & licenses 1

Addresses

Locations

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.

• Louise Kelly, LAPC

  • Counselor
  • Fayetteville, GA
  • NPI 1275767196
  NPD (past)

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1336304781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 HIGHWAY 54 W",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144515",
            "telephone_number": "770-716-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 HIGHWAY 54 WEST",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144515",
            "telephone_number": "770-716-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND WIND MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-716-6630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "001491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Scott, RBT
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• Community/Behavioral Health Agency in Fayetteville, GA
• Providers in Fayetteville, 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 Jul 25, 2008; 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.