Social Butterflies Youth Services, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

SOCIAL BUTTERFLIES YOUTH SERVICES, INC.

Practice address

124 S Main St
Suite 2a
Jonesboro, GA 30236-3599

Phone

(404) 491-0922

Fax

(866) 601-5225

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Lakeacha Michelle Jett, ED.D.NPI 1326442922

Title

Executive Director

Phone

(404) 953-2590

Specialties & licenses 1

Addresses

Other names 1

• Social Butterflies, Inc. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lakeacha M Jett

  • Mental Health Counselor
  • Jonesboro, GA
  • NPI 1326442922
  NPD (past) Authorized official

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1699185173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST",
            "address_2": "SUITE 2A",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363599",
            "telephone_number": "404-491-0922",
            "fax_number": "866-601-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST",
            "address_2": "SUITE 2A",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363599",
            "telephone_number": "404-491-0922",
            "fax_number": "866-601-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL BUTTERFLIES YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "JETT",
        "authorized_official_first_name": "LAKEACHA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-953-2590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Social Butterflies, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Heather Nicole Snoderly, RN
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• Preferred Provider Organization in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.