THERAPY CENTER VALDOSTA, LLC (NPI# 1720235518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720235518 |
| Entity Type | Organization |
| Organization Name | THERAPY CENTER VALDOSTA, LLC |
| Practice Address |
103 Wayne Ave Valdosta GA 31602-2582 |
| Practice Telephone | 2292449688 |
| Mailing Telephone | 2292449688 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-08-25 |
| Authorized Official Name | MRS. ALEXIS CALDWELL SWORDS (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Telephone | 2296309392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
004372 | GA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
003066 | GA | Behavioral Health & Social Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
057511 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
103 WAYNE AVE |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-2582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457583890 | Darin Michael Boylan | Counselor | 103 Wayne Ave, Valdosta, GA 31602-2582 | 2009-08-19 |
| 1063667905 | Alexis Caldwell Swords | Marriage & Family Therapist | 103 Wayne Ave, Valdosta, GA 31602-2582 | 2008-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982786224 | Paresh Thanki | Psychiatry & Neurology | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2006-10-19 |
| 1568490944 | Anil Kumar Gupta | Psychiatry & Neurology | 3312 N Oak St Ext Bldg D, Valdosta, GA 31605-1066 | 2006-06-28 |
| 1386698231 | Wendy Liana Vandemark | Psychiatry & Neurology | 2109 N Patterson St Ste B, Valdosta, GA 31602-2577 | 2006-05-22 |
| 1356311658 | Stephanie S Gee | Psychiatry & Neurology | 2410 Bemiss Rd Ste B, Valdosta, GA 31602-4827 | 2006-01-26 |
| 1619976891 | Tiffany M Delice | Psychiatry & Neurology | 111 N Patterson St, Valdosta, GA 31601-5515 | 2005-07-19 |
| 1558360784 | Joel L Morgan | Psychiatry & Neurology | 3541 N Crossing Cir, Valdosta, GA 31602-1019 | 2005-07-19 |
| 1962780171 | Integrative Health PC | Psychiatry & Neurology | 2935 N Ashley St, Suite 114, Valdosta, GA 31602-1777 | 2011-07-22 |
| 1073762712 | Beacon Behavioral Healthcare, Inc. | Psychiatry & Neurology | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2008-09-18 |
| 1851547327 | Robert Juliusz Maydell | Psychiatry & Neurology | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2008-08-14 |
| 1770511156 | Nitin R Patel | Psychiatry & Neurology | 2704 N Oak St, Building B-3, Valdosta, GA 31602-1744 | 2006-06-28 |
| Find all providers in VALDOSTA | ||||
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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.