Intervention and Prevention Services, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

LPC003534 Issued in GA

Legal business name

INTERVENTION AND PREVENTION SERVICES, INC.

Practice address

128 1St St E
Suite # 226
Tifton, GA 31794-4866

Phone

(229) 386-2100

Fax

(229) 387-7900

NPI assigned

Aug 1, 2007

Last updated

Aug 1, 2007By 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

Mrs. Caroline G Day

Title

Chief Executive Officer

Phone

(229) 402-2532

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1780874008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 1ST ST E",
            "address_2": "SUITE # 226",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944866",
            "telephone_number": "229-386-2100",
            "fax_number": "229-387-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 1ST ST E",
            "address_2": "SUITE # 226",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944866",
            "telephone_number": "229-386-2100",
            "fax_number": "229-387-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTION AND PREVENTION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "229-402-2532",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "LPC003534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Tifton, GA
• Providers in Tifton, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.