Organization Active NPI

The Georgia Center for Youth and Families, Inc.

  • Community/Behavioral Health Agency
  • Hampton, GA
National Provider Identifier
1801124029
Registry record updated Nov 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE GEORGIA CENTER FOR YOUTH AND FAMILIES, INC.
Practice address
11137 Tara Blvd
Suite 230-154
Hampton, GA 30228-1672
Phone
(678) 325-7936
NPI assigned
Nov 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2009

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

Authorized official

Name
Mrs. Monique HendersonNPI 1639407851
Title
Executive Director
Phone
(678) 325-7936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11137 Tara Blvd
Suite 230-154
Hampton, GA 30228-1672

Mailing address

11137 Tara Blvd
Suite 230-154
Hampton, GA 30228-1672

National Provider Directory

National Provider Directory

Locations

11137 Tara Blvd
Ste 230154
Lovejoy, GA 30228
Phone (678) 325-7936

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": "1259452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259452800000",
    "number": "1801124029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11137 TARA BLVD",
            "address_2": "SUITE 230-154",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302281672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11137 TARA BLVD",
            "address_2": "SUITE 230-154",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302281672",
            "telephone_number": "678-325-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GEORGIA CENTER FOR YOUTH AND FAMILIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-29",
        "last_updated": "2009-11-29",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-325-7936",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2009; 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.