NEW FOUNDATIONS YOUTH CENTER, INC (NPI# 1093362345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093362345 |
| Entity Type | Organization |
| Organization Name | NEW FOUNDATIONS YOUTH CENTER, INC |
| Practice Address |
5310 Golf Dr Lake Park GA 31636-3335 |
| Mailing Address |
Po Box 173 Valdosta GA 31603-0173 |
| Practice Telephone | 2294123452 |
| Mailing Telephone | 2294123452 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | SHARON SIRMONS (OWNER) |
| Authorized Official Telephone | 2294123452 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
5310 GOLF DR |
| City | LAKE PARK |
| State | GA |
| Zip Code | 31636-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054985 | Franklin Dewayne Brown | Counselor | 5310 Golf Dr, Lake Park, GA 31636-3335 | 2020-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891045191 | South Georgia Medical Center | General Acute Care Hospital | 2501 North Patterson St, Valdosta, GA 31636 | 2012-09-13 |
| 1407011711 | Migrant Farmworkers Clinic Inc | Clinic/Center | 224 J Frank Culpepper Road, Lake Park, GA 31636 | 2008-07-25 |
| 1649482795 | Institute for Family Systems Support | Social Worker | 308 West Collins Ave, Lake Park, GA 31636 | 2007-05-03 |
| 1639208333 | Kemberly Amanda Stone | Physician Assistant | 453 Lakes Blvd Suite B, Lake Park Family Care Clinic, Lake Park, GA 31636 | 2007-03-06 |
| 1215065768 | Dorothy B Price | Pharmacist | 1060 Lakes Boulevard, Winn Dixie #32, Lake Park, GA 31636 | 2007-02-28 |
| 1922163815 | South Health District | Public Health or Welfare | 751 Country Lane, Lake Park, GA 31636 | 2006-12-22 |
| 1235222415 | Wendy Ann Dorminey | Pharmacist | 1016 Lakes Blvd, Lake Park, GA 31636 | 2006-10-02 |
| 1528220308 | Michael Anthony Ferguson | Pharmacist | 1060 Lakes Blvd, Lake Park, GA 31636 | 2008-07-02 |
| 1285715433 | Manuel Tovar | Specialist | 224 Culpepper Rd., Lake Park, GA 31636-0889 | 2006-10-17 |
| 1518375815 | Rich Vodde | Social Worker | 5990 Dykes Pond Rd, Lake Park, GA 31636-2716 | 2014-07-30 |
| Find all providers in zip 31636 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639300734 | Rachel Diana Tramell | Counselor | 3741 William St Apt 1, Lake Park, FL 33403-1622 | 2009-08-06 |
| 1265054985 | Franklin Dewayne Brown | Counselor | 5310 Golf Dr, Lake Park, GA 31636-3335 | 2020-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1780284513 | Hogue Counseling and Consulting Services, LLC | Counselor | 7861 Waterlace Dr, Fairburn, GA 30213-4648 | 2020-10-30 |
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.