SEAJOY FAMILY SERVICE CENTER (NPI# 1194128017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194128017 |
| Entity Type | Organization |
| Organization Name | SEAJOY FAMILY SERVICE CENTER |
| Practice Address |
3540 Wheeler Rd Suite 508 Augusta GA 30909-1871 |
| Practice Telephone | 7067334515 |
| Practice Fax Number | 7067334517 |
| Mailing Telephone | 7067334515 |
| Mailing Fax Number | 7067334517 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |
| Authorized Official Name | ERICA WATFORD (CEO) |
| Authorized Official Telephone | 4049744820 |
| Is Organization Subpart | Y |
| Parent Organization Name | SEAJOY FAMILY SERVICE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003146054A | 05 |
| Street Address |
3540 WHEELER RD SUITE 508 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952486003 | Augusta Pediatric Clinic, PC | Pediatrics | 3540 Wheeler Rd, Suite 302, Augusta, GA 30909-1871 | 2006-10-26 |
| 1487195293 | Quality In Home Care, Inc. | Nursing Care | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2017-03-13 |
| 1053704072 | Stephanie Blackett Nichols | Social Worker | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2015-03-16 |
| 1194115717 | Creating Hope and Needed Care for Everyone, Inc | Community/Behavioral Health | 3540 Wheeler Rd, Suite 515, Augusta, GA 30909-1871 | 2015-02-03 |
| 1578960456 | Pathology Consultants of Augusta, P.C. | Clinical Medical Laboratory | 3540 Wheeler Rd, Suite 617, Augusta, GA 30909-1871 | 2014-11-20 |
| 1891116448 | Terri Brown | Specialist | 3540 Wheeler Rd, Suite 203, Augusta, GA 30909-1871 | 2013-12-29 |
| 1033474010 | Stephanie D Grant | Counselor | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2012-07-06 |
| 1215291042 | Life Management Group | Counselor | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2012-06-26 |
| 1932465366 | Rachel Leigh Wolfe | Counselor | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2012-04-10 |
| 1447541446 | Joseph Augustin Md LLC | Physical Medicine & Rehabilitation | 3540 Wheeler Rd, Suite 508, Augusta, GA 30909-1871 | 2011-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1497376792 | Bigivv | Community/Behavioral Health | 824 Hickman Rd Apt D32, Augusta, GA 30904-7108 | 2020-04-28 |
| 1871134478 | Nicole Mank, Lcsw, LLC | Community/Behavioral Health | 126 Western Ave # 1026, Augusta, ME 04330-7249 | 2019-10-04 |
| 1891263091 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 623 N 9th St Ste 200, Augusta, AR 72006-2103 | 2018-11-06 |
| 1811492911 | Healing Elements LLC | Community/Behavioral Health | 6494 Sw 60th St, Augusta, KS 67010-7790 | 2018-03-29 |
| 1942713664 | Consuela Tangulia Wilds-glover | Community/Behavioral Health | 519 Pleasant Home Rd Ste C4, Augusta, GA 30907-0556 | 2017-11-16 |
| 1558874974 | Jenesis Consulting and Development | Community/Behavioral Health | 4274 Belair Frontage Rd Ste 1, Augusta, GA 30909-9428 | 2017-11-07 |
| 1891217824 | Many Waters Counseling, LLC | Community/Behavioral Health | 3540 Wheeler Rd Ste 210, Augusta, GA 30909-1879 | 2017-07-12 |
| 1649702739 | Tracey Taylor Carter | Community/Behavioral Health | 1265 Interstate Pkwy, Suite B, Augusta, GA 30909-6481 | 2017-03-29 |
| 1669918231 | Cj Foster Consulting | Community/Behavioral Health | 3031 Brockham Ct, Augusta, GA 30909-0629 | 2017-01-06 |
| Find all providers in AUGUSTA | ||||
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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.