Organization Active NPI

Favors Behavioral Health & Consulting Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1366240202
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FAVORS BEHAVIORAL HEALTH & CONSULTING SERVICES, LLC
Practice address
1575 Lawrenceville Hwy Ste K
Lawrenceville, GA 30044-2007
Phone
(678) 215-4907
Fax
(678) 671-8489
NPI assigned
Mar 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Ireta Favors, PMHNP-BC
Title
Owner
Phone
(678) 215-4907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1575 Lawrenceville Hwy Ste K
Lawrenceville, GA 30044-2007

Mailing address

1575 Lawrenceville Hwy Ste K
Lawrenceville, GA 30044-2007
Phone (678) 215-4907

National Provider Directory

National Provider Directory

Locations

1575 Lawrenceville Hwy
Ste K
Lawrenceville, GA 30044
Phone (678) 215-4907

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1366240202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 LAWRENCEVILLE HWY STE K",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442007",
            "telephone_number": "678-215-4907",
            "fax_number": "678-671-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 LAWRENCEVILLE HWY STE K",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442007",
            "telephone_number": "678-215-4907",
            "fax_number": "678-671-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVORS BEHAVIORAL HEALTH & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "FAVORS",
        "authorized_official_first_name": "IRETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-215-4907",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.