Healthcare Provider Details

I. General information

NPI: 1639009475
Provider Name (Legal Business Name): CHILD ENRICHMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 WALDEN DR
AUGUSTA GA
30904-5506
US

IV. Provider business mailing address

2300 WALDEN DR
AUGUSTA GA
30904-5506
US

V. Phone/Fax

Practice location:
  • Phone: 706-737-4631
  • Fax: 706-403-8800
Mailing address:
  • Phone: 706-737-4631
  • Fax: 706-403-8800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KARI VIOLA-BROOKE
Title or Position: EXECUTIVE DIRECTOR
Credential: LPC
Phone: 706-737-4631