CAMP WANNA BE
NPI 1306192737
Counselor - Professional in Vidalia, GA
- Organization
- Counselor
- Professional
About CAMP WANNA BE
This page provides the complete NPI Profile along with additional information for Camp Wanna Be, a provider established in Vidalia, Georgia operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1306192737 assigned on August 2012. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Clinton Blount (Director)
- NPI
- 1306192737 Verify this NPI
- Provider Name
- CAMP WANNA BE
- Entity Type
- Organization
- Location Address
- 582 MEL BLOUNT RD VIDALIA, GA 30474
- Location Phone
- (912) 537-7787
- Mailing Address
- 582 MEL BLOUNT RD VIDALIA, GA 30474
- Mailing Phone
- (912) 537-7787
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-03-2012
- Last Update Date
- 08-03-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
| 3 | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | |
| 4 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | |
| 5 | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | |
| 6 | 385H00000X | Respite Care Facility | Respite Care |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
VIDALIA, GA 30474
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306192737, enumerated as an "organization" on August 03, 2012.
The provider is located at 582 MEL BLOUNT RD VIDALIA, GA 30474 and the phone number is (912) 537-7787.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
