Provider Demographics
NPI:1154959112
Name:NURTURE BEHAVIORAL HEALTH AND EDUCATION SERVICES, LLC
Entity type:Organization
Organization Name:NURTURE BEHAVIORAL HEALTH AND EDUCATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:678-570-7417
Mailing Address - Street 1:PO BOX 5042
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-5042
Mailing Address - Country:US
Mailing Address - Phone:912-409-7889
Mailing Address - Fax:404-953-6258
Practice Address - Street 1:1201 SHADOWLAWN DR STE 112
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-4074
Practice Address - Country:US
Practice Address - Phone:912-409-7889
Practice Address - Fax:404-953-6258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency