MIRACLES BEHAVIORAL HEALTH CENTER (NPI# 1760551873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760551873 |
| Entity Type | Organization |
| Organization Name | MIRACLES BEHAVIORAL HEALTH CENTER |
| Practice Address |
66 Briandwood Dr. Suite A Newnan GA 30265 |
| Mailing Address |
1108 East Main Street Ste. 803 Richmond VA 23219 |
| Practice Telephone | 6784381255 |
| Mailing Telephone | 8043432723 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | MR. DARAL JAMAL WRIGHT (CEO) |
| Authorized Official Telephone | 8044006974 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 822 | VA | Agencies |
| Street Address |
66 BRIANDWOOD DR. SUITE A |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| 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 |
|---|---|---|---|---|
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1881131860 | Willow Oak Community Behavioral Health Center | Community/Behavioral Health | 37 Calumet Parkway, Building J, Suite 101 & 102, Newnan, GA 30263-6734 | 2017-01-27 |
| 1962952432 | Rbm Inc | Community/Behavioral Health | 51 Perry St Ste A, Newnan, GA 30263-2082 | 2016-10-09 |
| 1215370572 | For Kids Sake of Newnan, LLC | Community/Behavioral Health | 185 Woodstream Dr, Newnan, GA 30265-3309 | 2013-04-16 |
| 1770825176 | Arise Recovery Consultants, LLC | Community/Behavioral Health | 41 Farmer St Ste 101, Newnan, GA 30263-8672 | 2013-03-23 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1497033583 | John Coleman Wright, Jr. Foundation | Community/Behavioral Health | 165 Southfield Dr, Newnan, GA 30265-1943 | 2011-07-25 |
| 1134436942 | Brittanymanor, Inc | Community/Behavioral Health | 175 J D Walton Rd, 175jdwalton Rd, Newnan, GA 30263-4912 | 2010-09-01 |
| 1912220245 | Grace Harbour, Inc. | Community/Behavioral Health | 2 Lee St, Suite A, Newnan, GA 30263-1915 | 2010-03-01 |
| 1881758662 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 74 Hospital Rd, Newnan, GA 30263-1210 | 2006-12-19 |
| Find all providers in NEWNAN | ||||
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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.