Seedlife Foundation

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

SEEDLIFE FOUNDATION

Practice address

4644 Powder Springs Dallas Rd Unit 892
Powder Springs, GA 30127-7708

Phone

(833) 357-5433

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Bernadine Saiyda Williams, CPS-P

Title

Certified Peer Specialist Parent

Phone

(470) 940-7218

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1992585129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4644 POWDER SPRINGS DALLAS RD UNIT 892",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301277708",
            "telephone_number": "833-357-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 POWDER SPRINGS DALLAS RD UNIT 892",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301277708",
            "telephone_number": "833-357-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDLIFE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BERNADINE",
        "authorized_official_middle_name": "SAIYDA",
        "authorized_official_title_or_position": "CERTIFIED PEER SPECIALIST PARENT",
        "authorized_official_telephone_number": "470-940-7218",
        "authorized_official_credential": "CPS-P"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Peer Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.