SEEDS OF LIFE COUNSELING AGENCY, LLC (NPI# 1699314807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699314807 |
Entity Type | Organization |
Organization Name | SEEDS OF LIFE COUNSELING AGENCY, LLC |
Practice Address |
3070 Clairmont Ave Macon GA 31204-1049 |
Practice Telephone | 4783204458 |
Mailing Telephone | 4783204458 |
Enumeration Date | 2020-01-06 |
Last Update Date | 2020-01-06 |
Authorized Official Name | MRS. SHARRAL MOSS DEAN (OWNER/THERAPIST) |
Authorized Official Telephone | 4783204458 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
3070 CLAIRMONT AVE |
City | MACON |
State | GA |
Zip Code | 31204-1049 |
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 | 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 |
---|---|---|---|---|
1033664222 | Moore Resolutions Group, LLC | Community/Behavioral Health | 4100 Riverside Dr Ste 97, Macon, GA 31210-1848 | 2016-08-17 |
1164874509 | Chandra Albritton Counseling Services | Community/Behavioral Health | 152 New St, Suite 109b, Macon, GA 31201-7304 | 2016-07-11 |
1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
1902220536 | Jode Counseling Training and Treatment Services Inc | Community/Behavioral Health | 3555 Mercer University Dr, Suite 1016, Macon, GA 31204-4940 | 2014-02-18 |
1730483306 | River Edge Behavioral Health Center | Community/Behavioral Health | 1881 Twin Pines Dr, Macon, GA 31211-1237 | 2010-12-22 |
1972819753 | Resourceful Solutions II | Community/Behavioral Health | 405 Cherry St, Suite 345, Macon, GA 31201-3320 | 2010-08-31 |
1437270352 | Community Development System, Inc. | Community/Behavioral Health | 401 Cherry St, Suite 505, Macon, GA 31201-3384 | 2007-04-02 |
1295899466 | River Edge Behavioral Health Center | Community/Behavioral Health | 750 Baconsfield Dr, Macon, GA 31211-1491 | 2006-12-21 |
1962564963 | River Edge Behavioral Health Center | Community/Behavioral Health | 4164 Riggins Mill Rd, Macon, GA 31217-5440 | 2006-12-15 |
1104988351 | River Edge Behavioral Health Center | Community/Behavioral Health | 626 Spring St, Macon, GA 31201-2028 | 2006-12-14 |
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.