NPIMap

Organization Active NPI

Nurse Education Develpment Centers LLC

Doing business as Providian Behavioral Health

  • Community/Behavioral Health Agency
  • Decatur, GA
National Provider Identifier
1780011841
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NURSE EDUCATION DEVELPMENT CENTERS LLC
Doing business as
Providian Behavioral Health
Practice address
3710 Preakness Dr
Decatur, GA 30034-3342
Phone
(678) 372-8494
NPI assigned
Oct 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Mrs. Elaina Stellette Hall, RN, MSN, MBA
Title
Ceo
Phone
(678) 491-7870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3710 Preakness Dr
Decatur, GA 30034-3342

Mailing address

3710 Preakness Dr
Decatur, GA 30034-3342
Phone (678) 372-8494

Other names 1

  • Providian Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nurse Education Development Centers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1780011841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 PREAKNESS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343342",
            "telephone_number": "678-372-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 PREAKNESS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343342",
            "telephone_number": "678-372-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE EDUCATION DEVELPMENT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_middle_name": "STELLETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-491-7870",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN, MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providian Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.