Active NPI
Sacred Living Behavioral Health and Wellness, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Cairo, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SACRED LIVING BEHAVIORAL HEALTH AND WELLNESS, LLC
- Practice address
- 10 1St Ave NE
Cairo, GA 39828-2101 - Phone
- (229) 216-9940
- NPI assigned
- Jun 12, 2023
- Last updated
- Feb 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Washpon Morris, APRN
- Title
- Ceo
- Phone
- (404) 985-0313
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
10 1St Ave NE
Cairo, GA 39828-2101
Mailing address
10 1St Ave NE
Cairo, GA 39828-2101
Phone (229) 216-9940
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2291508 | Sacred Living Behavioral Health and Wellness, LLC | Certificate of waiver | Oct 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
10 1st Ave NE
Cairo, GA 39828
Phone (229) 216-9940
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Cairo, GA
- NPI 1851931620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1487338430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 1ST AVE NE",
"city": "CAIRO",
"state": "GA",
"postal_code": "398282101",
"telephone_number": "229-216-9940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 1ST AVE NE",
"city": "CAIRO",
"state": "GA",
"postal_code": "398282101",
"telephone_number": "229-216-9940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRED LIVING BEHAVIORAL HEALTH AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-12",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "WASHPON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-985-0313",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cairo, GA
- Rhodes Associates Inc (U Save It Pharmacy Cairo LTC)
- Dana B. Rhodes, PHARM.D.
- Glenn Kelly Robinson, D.C.
- Stina Jennifer Ruddell, P.A.
- Rural Urgent Care LLC (MainStreet Family Care)
- Sagl (Care 360 Medical)
- Sagl Medical Services (Cairo 360 Medical)
- Ann Scott, RRT, RCP
- Juan S Serna-Gonzalez, DO
- Jana Louise Smith
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.