Freckles Mentoring

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

FRECKLES MENTORING

Practice address

205 Perkins LN
Valdosta, GA 31601-5260

Phone

(229) 560-0705

NPI assigned

Apr 9, 2015

Organization subpart

No

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

Authorized official

Name

Miss India Bell

Title

Program Director

Phone

(229) 560-0705

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1932595543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PERKINS LN",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PERKINS LN",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015260",
            "telephone_number": "229-560-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRECKLES MENTORING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "INDIA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "229-560-0705",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maci Dee Fox, ATC
• Ivy Duncan Fralick, APRN
• Anna-Lisa Franklin
• Larissa Kathleen Frauenheim, APRN
• Calvin Frazier
• Amanda Frederiksen
• Allison Freeman, OT
• Art Dewayne Freeman II
• Baylee Freeman, LPC
• Brittnaey Nicole Freeman

• Voluntary or Charitable Agency in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Voluntary or Charitable Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.