Foster Love Ministries

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

FOSTER LOVE MINISTRIES

Practice address

1519 Lee St
Brunswick, GA 31520-6928

Phone

(912) 771-0005

NPI assigned

Dec 22, 2025

Organization subpart

No

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

Authorized official

Name

Marci Bourland, REV

Title

Ceo

Phone

(912) 771-0005

Specialties & licenses 2

Addresses

Other names 1

• Life Bridge Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Crystal Joy Wright, LCSW

  • Clinical Social Worker
  • Waynesville, GA
  • NPI 1326399718
  Medicare reassignment

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1740145622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 LEE ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206928",
            "telephone_number": "912-275-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 LEE ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206928",
            "telephone_number": "912-771-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER LOVE MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "BOURLAND",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-771-0005",
        "authorized_official_credential": "REV"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Bridge Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay William Floyd, MD
• Mario Forcina
• Forefront Dermatology SC
• Doris Joanne Forrest, NCTMB
• Forum Group at Wildwood Park Nursing & Rehabilitation Center, LLC
• Coretta Foster
• Evan Hamilton Fountain, M.D.
• Chandler Fox, DPT
• Jamya Frazier
• Thomas Freney

• Foster Care Agency in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Foster Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.