Burning Bush Youth & Family Intervention Center, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BURNING BUSH YOUTH & FAMILY INTERVENTION CENTER, INC.

Practice address

144 Brookwood Ave
Jackson, GA 30233-1403

Phone

(678) 774-8230

Fax

(678) 774-8233

NPI assigned

Mar 25, 2013

Last updated

Mar 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald Tinsley

Title

Executive Director

Phone

(678) 774-8230

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1992047278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 BROOKWOOD AVE",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 BROOKWOOD AVE",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331403",
            "telephone_number": "678-774-8230",
            "fax_number": "678-774-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNING BUSH YOUTH & FAMILY INTERVENTION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-774-8230"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lezlie F Biles, MD
• Brooke Nicole Bolden, NP
• Lynn A Boyles, LCSW
• Heather Elizabeth Brooker, FNP-C
• Jessica Buckholts
• Butts County Board of Health (Butts County Health Department)
• Butts County Boe
• Angela Michelle Cain, FNP-C
• Carol M. Odegaard, MD, PC
• Central Hospice, LLC

• Early Intervention Provider Agency in Jackson, GA
• Providers in Jackson, GA by specialty
• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.