Tail Winds Residential, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TAIL WINDS RESIDENTIAL, LLC

Practice address

2230 Ga Highway 133 S
Moultrie, GA 31788-1768

Phone

(229) 890-2583

NPI assigned

Feb 21, 2024

Organization subpart

No

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

Authorized official

Name

Debra Howard

Title

Ceo/Owner

Phone

(760) 585-5522

Specialties & licenses 1

Addresses

Other names 1

• LOL-Life Of Liberty Inc Other name

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1447016191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317685434",
            "telephone_number": "229-890-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 GA HIGHWAY 133 S",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317881768",
            "telephone_number": "229-890-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAIL WINDS RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "760-585-5522"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOL-Life Of Liberty Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Moultrie, GA
• Providers in Moultrie, 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 Oct 31, 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.