NPIMap

Organization Active NPI

United Behavioral Health Center LLC.

  • Mental Health Counselor
  • Pooler, GA
National Provider Identifier
1730646019
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
UNITED BEHAVIORAL HEALTH CENTER LLC.
Practice address
59 Melody Dr
Pooler, GA 31322-3644
Phone
(910) 299-2094
NPI assigned
Feb 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Hevylla Landing, LMSW
Title
Owner
Phone
(910) 299-2094

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

59 Melody Dr
Pooler, GA 31322-3644

Mailing address

101 Blue Moon Crossing Suite 3
Box 259
Pooler, GA 31322
Phone (910) 299-2094

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1730646019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BLUE MOON CROSSING SUITE 3",
            "address_2": "BOX 259",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "31322",
            "telephone_number": "910-299-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MELODY DR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313223644",
            "telephone_number": "910-299-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED BEHAVIORAL HEALTH CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "LANDING",
        "authorized_official_first_name": "HEVYLLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-299-2094",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.