Comfort Behavioral Health Social Services LLC.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

COMFORT BEHAVIORAL HEALTH SOCIAL SERVICES LLC.

Practice address

445 E. G. Miles Parkway
Suite # 108
Hinesville, GA 31313

Phone

(912) 368-6822

Fax

(912) 368-6820

NPI assigned

Dec 9, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Funmilayo Mejabi, LPC

Title

Ceo

Phone

(912) 492-4739

Specialties & licenses 4

Addresses

Other names 1

• Comfort Behavioral Health Social Services, LLC Former legal business name

Locations

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1841593142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1045",
            "address_2": "445 E. G. MILES PKWY # SUITE 108",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31310",
            "telephone_number": "912-368-3622",
            "fax_number": "912-368-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E. G. MILES PARKWAY",
            "address_2": "SUITE # 108",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-368-6822",
            "fax_number": "912-368-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT BEHAVIORAL HEALTH SOCIAL SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "MEJABI",
        "authorized_official_first_name": "FUNMILAYO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-492-4739",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Behavioral Health Social Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Professional Counselor in Hinesville, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.