Organization Active NPI

Sacred Living Behavioral Health and Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cairo, GA
National Provider Identifier
1487338430
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Patricia Washpon Morris, APRNNPI 1851931620
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2291508Sacred Living Behavioral Health and Wellness, LLC10 1St Avenue, NE, Cairo, GA 39828Certificate of waiverOct 10, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.