PEACEWAY COUNSELING & MEDIATION SERVICES INC. (NPI# 1215113675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215113675 |
| Entity Type | Organization |
| Organization Name | PEACEWAY COUNSELING & MEDIATION SERVICES INC. |
| Practice Address |
2405 Bemiss Rd Valdosta GA 31602-1936 |
| Practice Telephone | 2293332351 |
| Practice Fax Number | 2293332353 |
| Mailing Telephone | 2293332351 |
| Mailing Fax Number | 2293332353 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |
| Authorized Official Name | MR. F. TIRRELL ANDREWS (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 2293332351 |
| Authorized Official Credential | LMFT; ED.D CANDI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MFT001051 | GA | Ambulatory Health Care Facilities |
| Street Address |
2405 BEMISS RD |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689862757 | F. Tirrell Andrews | Marriage & Family Therapist | 2405 Bemiss Rd, Valdosta, GA 31602-1936 | 2007-10-13 |
| 1336785914 | Latonia Demetria Watkins | Counselor | 2405 Bemiss Rd, Valdosta, GA 31602-1936 | 2019-11-19 |
| 1114399193 | Susan Bravo | Counselor | 2405 Bemiss Rd, Valdosta, GA 31602-1936 | 2015-10-29 |
| 1346550100 | Ryan C Gunnell | Marriage & Family Therapist | 2405 Bemiss Rd, Valdosta, GA 31602-1936 | 2010-10-14 |
| 1306034475 | Lucretia Dionn Andrews | Marriage & Family Therapist | 2405 Bemiss Rd, Valdosta, GA 31602-1936 | 2007-10-13 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518396548 | Behavioral Health Crisis Center | Clinic/Center | 3116 North Oak Street Ext, Valdosta, GA 31602-5910 | 2013-11-12 |
| 1407929730 | South Georgia Csb | Clinic/Center | 252 N Saint Augustine Rd, Valdosta, GA 31601-5274 | 2006-11-16 |
| 1568014736 | Lithos Counseling and Consulting, LLC | Clinic/Center | 1805 Green Cir, Valdosta, GA 31602-2734 | 2019-07-09 |
| 1497240543 | Blakely Harper Lcsw PC | Clinic/Center | 3350 Noble Way Ste B, Valdosta, GA 31605-7444 | 2018-06-29 |
| 1801932371 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext, Suite C, Valdosta, GA 31602-1007 | 2007-01-30 |
| 1588739601 | Behavioral Health Services of South Georgia | Clinic/Center | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2006-11-22 |
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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.