Loving Grace PCH

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LOVING GRACE PCH

Practice address

1213 Wood Valley Rd
Augusta, GA 30909-2327

Phone

(706) 738-9032

Fax

(706) 738-9032

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Tonda Booker

Title

Owner

Phone

(706) 831-4472

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1972774842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 12TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309013238",
            "telephone_number": "706-364-4379",
            "fax_number": "706-364-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 WOOD VALLEY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092327",
            "telephone_number": "706-738-9032",
            "fax_number": "706-738-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING GRACE PCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "TONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-831-4472",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetriust Love
• Lashorn Love, CRM
• Love's Personal Care Facilities Inc
• Carolyn Mills Lovell, C.G.C.
• Melvis Sharon Bowie Lovett, LPC
• Michael Scott Loving, DPT
• Dolapo Feyi Lowe
• Hannah Lowe
• Vickie B. Lowe, RNFA
• Lauren Briana Lowell, CRNA

• Adult Mental Health Clinic/Center in Augusta, GA
• Providers in Augusta, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.