ENHANCE BEHAVIORAL HEALTH, LLC (NPI# 1518445014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518445014 |
Entity Type | Organization |
Organization Name | ENHANCE BEHAVIORAL HEALTH, LLC |
Practice Address |
3083 Vineville Ave Macon GA 31204-2460 |
Mailing Address |
141 Wolf Creek Dr N Macon GA 31210-9002 |
Practice Telephone | 4782587798 |
Practice Fax Number | 8885360360 |
Mailing Telephone | 4789559779 |
Enumeration Date | 2018-08-06 |
Last Update Date | 2018-08-06 |
Authorized Official Name | MYRANA CRAIG (DIRECTOR) |
Authorized Official Telephone | 4782587798 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
APC006446 | GA | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
3153 | GA | Behavioral Health & Social Service Providers |
N | 101Y00000X | Counselor | 3852 | GA | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
3852 | GA | Behavioral Health & Social Service Providers |
Street Address |
3083 VINEVILLE AVE |
City | MACON |
State | GA |
Zip Code | 31204-2460 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
Find all providers in zip 31204 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588153621 | Efcel Aaron Velez | Counselor | 544 Mulberry St Ste 305, Macon, GA 31201-8284 | 2018-05-03 |
1275021396 | Tanisha Andrea Primas | Counselor | 560 Oglethorpe St, Macon, GA 31201-6842 | 2018-04-24 |
1265946974 | Ervin N/a Briones | Counselor | 1552 Long Acre Dr, Macon, GA 31204-4924 | 2017-11-17 |
1760928386 | Amelia Barton | Counselor | 139 Kimmeridge Dr, Macon, GA 31220-2681 | 2017-01-07 |
1528519741 | Yanci Lavender | Counselor | 43 Mlk Dr, Macon, MS 39341-2734 | 2016-10-24 |
1639543259 | Imani Shaw | Counselor | 3985 Arkwright Rd Ste 106, Macon, GA 31210-1775 | 2015-11-19 |
1548669252 | Diane Hairston | Counselor | 43 W Martin Luther King Dr, Macon, MS 39741 | 2014-08-19 |
1487084323 | Tamara Epps | Counselor | 2313 Lowe St, Macon, GA 31206-3145 | 2013-11-13 |
1679849921 | Rasheedah Atiyah Bankhead | Counselor | 43 Dr Martin Luther King Jr Dr, Macon, MS 39341-2734 | 2012-03-30 |
1760786735 | Family Counseling Center | Counselor | 277 Mlk Blvd Ste 203, Macon, GA 31201-3498 | 2011-01-05 |
Find all providers in MACON |
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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.