NPIMap

Organization Active NPI

Therapy Center Valdosta, LLC

  • Psychiatry Physician
  • Valdosta, GA
National Provider Identifier
1720235518
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
057511 Issued in GA
Legal business name
THERAPY CENTER VALDOSTA, LLC
Practice address
103 Wayne Ave
Valdosta, GA 31602-2582
Phone
(229) 244-9688
NPI assigned
Aug 22, 2008
Last updated
Aug 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Mrs. Alexis Caldwell SwordsNPI 1063667905
Title
Marriage and Family Therapist
Phone
(229) 630-9392

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 004372 GA
Professional Counselor 101YP2500X 003066 GA
Psychiatry Physician 2084P0800X 057511 GA Primary

Addresses

Primary practice location

103 Wayne Ave
Valdosta, GA 31602-2582

Mailing address

103 Wayne Ave
Valdosta, GA 31602-2582
Phone (229) 244-9688

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1720235518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WAYNE AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022582",
            "telephone_number": "229-244-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WAYNE AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022582",
            "telephone_number": "229-244-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY CENTER VALDOSTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "SWORDS",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "CALDWELL",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "229-630-9392",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "004372",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "003066",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "057511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.