Saving Grace Behavior Health Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SAVING GRACE BEHAVIOR HEALTH SERVICES

Practice address

1951A Cambria Dr
Greenville, NC 27834-0094

Phone

(252) 353-7147

NPI assigned

Feb 14, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Collins Yeboa Siakwan, MSW,LCAS, CCS, LCSWP

Title

Chief Executive Officer

Phone

(252) 268-5433

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1234569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234569600000",
    "number": "1639318652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951A CAMBRIA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278340094",
            "telephone_number": "252-268-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951A CAMBRIA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278340094",
            "telephone_number": "252-353-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVING GRACE BEHAVIOR HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-14",
        "last_updated": "2009-02-14",
        "status": "A",
        "authorized_official_last_name": "SIAKWAN",
        "authorized_official_first_name": "COLLINS",
        "authorized_official_middle_name": "YEBOA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "252-268-5433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW,LCAS, CCS, LCSWP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111899",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Bradshaw Saunders, M.S.
• Mary Catherine Gurganus Saunders, MSN, APRN, AGCNS-BC,
• Amber Sautter, RBT
• Roytesa R Savage, MD
• Fnu Saveeta, MD
• Ashley Michelle Sawyer, SLP
• Lauryn Anne Sawyer, MSW LCSW
• Sarah Sawyer, COTA/L
• Lidia Say
• Kimberly Sayers, AUD

• Mental Health Counselor in Greenville, NC
• Providers in Greenville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.