4Fun, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC003736 Issued in GA

Legal business name

4FUN, INC

Practice address

23439 Ga Highway 46
Pembroke, GA 31321-8515

Phone

(912) 823-3183

NPI assigned

May 3, 2007

Last updated

Sep 18, 2007By 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

Mrs. Vicki Nelson Belcher, LPCNPI 1427238906

Title

President

Phone

(912) 764-6906

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.

• Vicki Nelson Belcher, LPC

  • Counselor
  • Pembroke, GA
  • NPI 1427238906
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1376755595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23439 GA HIGHWAY 46",
            "city": "PEMBROKE",
            "state": "GA",
            "postal_code": "313218515",
            "telephone_number": "912-823-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23439 GA HIGHWAY 46",
            "city": "PEMBROKE",
            "state": "GA",
            "postal_code": "313218515",
            "telephone_number": "912-823-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4FUN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-764-6906",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC003736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Lane Altman
• Kristen Altman, P.T.
• Kelly Elizabeth Ashley, PT, DPT
• Kara Baker
• Bedingfield Pharmacy, Inc

• Community/Behavioral Health Agency in Pembroke, GA
• Providers in Pembroke, 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 Sep 18, 2007; 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.