Sraintree Village

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

CPA-40075 Issued in GA

Legal business name

SRAINTREE VILLAGE

Practice address

3757 Johnston Rd
Valdosta, GA 31601-2105

Phone

(229) 559-5944

NPI assigned

Apr 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edward E Sanders, LMSW

Title

Asst. Admin.

Phone

(229) 559-5944

Specialties & licenses 1

Addresses

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.

• Natalia Dankwa, LCSW

  • Clinical Social Worker
  • Canton, GA
  • NPI 1194476168
  NPD (past)
• Gresham Royal Holton, PH.D.,LMFT

  • Marriage & Family Therapist
  • Valdosta, GA
  • NPI 1578696654
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730202219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3757 JOHNSTON RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316012105",
            "telephone_number": "229-559-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3757 JOHNSTON RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316012105",
            "telephone_number": "229-559-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRAINTREE VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ASST. ADMIN.",
        "authorized_official_telephone_number": "229-559-5944",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "GA",
            "license": "CPA-40075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine Tyme Chiropractic and Wellness (South GA Chiropractic & Wellness)
• Cariana Elisabeth Spivey, FNP-BC
• Wenbrelee Corbitt Spradley, M.ED., CCC-SLP
• Springhealth Behavioral Health and Integrated Care Georgia, LLC
• Olivia Spuler, LAT, ATC
• St. Francis Hospital (St. Francis Orthopaedic Institute)
• Emily Wall Stamey, PHARMD
• Sierra Leeann Stanton
• Nicholas Rashad Starkey, PHARMD.
• Karima Starks

• Emotionally Disturbed Childrens' Residential Treatment Facility in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.