Behavioral Counseling and Intervention Management, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC003234 Issued in GA

Legal business name

BEHAVIORAL COUNSELING AND INTERVENTION MANAGEMENT, LLC

Practice address

511 Telfair St
Dublin, GA 31021-5144

Phone

(478) 274-9003

Fax

(478) 275-1916

NPI assigned

Jun 16, 2009

Organization subpart

No

Name

Ms. Martha C Mincey

Title

Program Director

Phone

(478) 275-7854

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2009.

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1548497696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 OLD MACON RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310210941",
            "telephone_number": "478-274-9003",
            "fax_number": "478-275-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 TELFAIR ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215144",
            "telephone_number": "478-274-9003",
            "fax_number": "478-275-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL COUNSELING AND INTERVENTION MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "MINCEY",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "478-275-7854",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC003234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayn Vincent Dejesus Bayani, M.D.
• Susan C Beacham, RN-BSN
• Carl O Bedingfield, M.D.
• James Andrew Bedingfield Jr., MD
• Hope Bedoya, RBT
• Behavioral Health of Middle Georgia, LLC
• Alex Antonio Bell, CCC-SLP
• Vaughn Thomas Bell Jr., R.D.
• Cynthia A. Bellflower, LPN
• Janice Leigh Anne Bennett, M.ED CCC-SLP

• All providers in Dublin, GA
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.