| Sacred Living Behavioral Health And Wellness, Llc | |
|
10 1st Ave Ne Cairo GA 39828-2101 | |
| (229) 216-9940 | |
| Not Available |
| Full Name | Sacred Living Behavioral Health And Wellness, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 10 1st Ave Ne, Cairo, Georgia |
| Authorized Official Name and Position | Patricia Washpon Morris (CEO) |
| Authorized Official Contact | 4049850313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Living Behavioral Health And Wellness, Llc 10 1st Ave Ne Cairo GA 39828-2101 Ph: (229) 216-9940 | Sacred Living Behavioral Health And Wellness, Llc 10 1st Ave Ne Cairo GA 39828-2101 Ph: (229) 216-9940 |
| NPI Number | 1487338430 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 7719323617 |
|---|---|
| Medicare Enrollment ID | O20240314000812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487338430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Patricia Washpon Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851931620 PECOS PAC ID: 0143630228 Enrollment ID: I20201030000589 |
Georgia Pines Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1641 N Broad St, Cairo, GA 39828 Phone: 229-225-4335 Fax: 229-225-4374 | |
Georgia Pines Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1641 N Broad St, Cairo, GA 39828 Phone: 229-225-4335 Fax: 229-225-4374 | |
Georgia Pines Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1641 N Broad St, Cairo, GA 39828 Phone: 229-225-4335 Fax: 229-225-4374 |