SACRED LIVING BEHAVIORAL HEALTH AND WELLNESS, LLC
NPI 1487338430
Nurse Practitioner - Psychiatric/Mental Health in Cairo, GA

Active since June 12, 2023CLIA 11D2291508 · Waiver
10 1ST AVE NE, CAIRO, GA 39828(229) 216-9940 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2024, Jun 12, 2023 (2 updates tracked since 2023).

About Sacred Living Behavioral Health And Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SACRED LIVING BEHAVIORAL HEALTH AND WELLNESS, LLC (NPI 1487338430) is a healthcare organization registered as a psychiatric/mental health in Cairo, Georgia and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through October 10, 2027 and lists Patricia Washpon Morris, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487338430
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSACRED LIVING BEHAVIORAL HEALTH AND WELLNESS, LLC
Location Address10 1ST AVE NECairo, GA 39828-2101
Mailing Address10 1st Ave NeCairo, GA 39828-2101 · (229) 216-9940
Organization SubpartNo
Authorized OfficialPatricia Washpon MorrisCeo · (404) 985-0313
Enumeration DateJune 12, 2023
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
NPI 1487338430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
10 1ST AVE NE, Cairo, GA 39828

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2291508

Sacred Living Behavioral Health And Wellness, LLC · Cairo, GA
Active · expires Oct 10, 2027
CLIA Number11D2291508
Laboratory TypePractitioner Other
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorPatricia Morris
Laboratory Phone(229) 216-9940
Laboratory LocationSacred Living Behavioral Health And Wellness, LLC10 1st Avenue, NE, Cairo, GA 39828
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
10 1ST AVE NE
CAIRO, GA 39828
Licensed Practical Nurse
10 1ST AVE NE
CAIRO, GA 39828
Nurse Practitioner (Psychiatric/Mental Health)
10 1ST AVE NE
CAIRO, GA 39828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sacred Living Behavioral Health And Wellness, LLC's NPI number?

The NPI number for Sacred Living Behavioral Health And Wellness, LLC is 1487338430. It was assigned to this organization in the NPPES registry on June 12, 2023.

Where is Sacred Living Behavioral Health And Wellness, LLC located?

Sacred Living Behavioral Health And Wellness, LLC is located at 10 1st Ave NE, Cairo, GA 39828. The listed phone number is (229) 216-9940.

What is Sacred Living Behavioral Health And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Sacred Living Behavioral Health And Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2291508) is associated with this NPI, valid through October 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sacred Living Behavioral Health And Wellness, LLC was last updated on February 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.