Design Y Life

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

15458417 Issued in GA

Legal business name

DESIGN Y LIFE

Doing business as

The Mentoring Project for Families Children

Practice address

540 Basin St
Augusta, GA 30909-3834

Phone

(706) 267-1488

Fax

(706) 592-9247

NPI assigned

Apr 14, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Yvette Jones

Title

Ceo

Phone

(706) 267-1488

Specialties & licenses 1

Addresses

Other names 1

• The Mentoring Project for Families Children Doing business as

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1881013340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308150428",
            "telephone_number": "706-267-1488",
            "fax_number": "706-592-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BASIN ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093834",
            "telephone_number": "706-267-1488",
            "fax_number": "706-592-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGN Y LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-267-1488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "15458417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mentoring Project for Families Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Koosh Desai, MD
• Smita Desai
• Charlie Camson Desamito, RN
• Elizabeth Desellier, DO
• Priya Sudhakar Deshpande, MD
• Mallika Devarapalli, D.O.
• Jacey Laine Devaughn, NP
• John G Devine, MD
• Jagadishwar Devkota, M.D.
• Lawrence D. Devoe, MD

• Community/Behavioral Health Agency in Augusta, GA
• Providers in Augusta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.