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NPI Code Detail

MEDICARE: MIDDLE FLINT BEHAVIORAL HEALTH AND WELLNESS

MEDICARE: MIDDLE FLINT BEHAVIORAL HEALTH AND WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse

General Provider Information

NPI Number : 1568395978
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDDLE FLINT BEHAVIORAL HEALTH AND WELLNESS
Provider Business Mailing Address
First Line : 9052 JIM PURCELL DR
Second Line :
City : COVINGTON
State : GA
Zip : 30014-2203
Country : US
Telephone Number : 478-396-5442
Fax Number :
Provider Business Practice Location Address
First Line : 940 GA HIGHWAY 96 STE C
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-2585
Country : US
Telephone Number : 478-988-7100
Fax Number :
Authorized Official
Title or Position : NURSE
Name : ALICIA BAILEY
Credential : RN
Telephone Number : 478-396-5442
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

Similar Medicare Providers

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Practice Location Address:
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Practice Fax:
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1033647607 — MARGARET- ROSE MCNICHOLAS
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1417486184 — BRENDA CHIQUITA FULLER
Practice Location Address:
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1922517952 — ALYCIA ANNE MORROW
Practice Location Address:
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Directions to “MIDDLE FLINT BEHAVIORAL HEALTH AND WELLNESS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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