OrganizationActive
The Wings of Holly Blue LLC
NPI 1184480170 · Community/Behavioral Health Agency · Moultrie, GA
The Wings of Holly Blue LLC is a Community/Behavioral Health Agency organization in Moultrie, GA (NPI 1184480170).
Provider details
- NPI number
- 1184480170
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Debra Howard, Ceo(760) 585-5522
Specialties & taxonomies
Agencies
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
815 S Main St
Moultrie, GA 31768-5434
Phone: (760) 585-5522
Fax: (760) 433-5414
Street-level locationGet directions
Mailing address
815 S Main St
Moultrie, GA 31768-5434
Other names (DBA / former)
- Doing business as
- Twohb
Registry dates
- Enumerated
- 2024-02-27
- Last updated
- 2024-04-11
- Certified
- 2024-04-11
Frequently asked questions
- What is The Wings of Holly Blue LLC's NPI number?
- The Wings of Holly Blue LLC's National Provider Identifier (NPI) is 1184480170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Wings of Holly Blue LLC?
- The Wings of Holly Blue LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is The Wings of Holly Blue LLC located?
- The Wings of Holly Blue LLC's practice location on file with NPPES is 815 S Main St, Moultrie, GA 31768-5434.
- What is The Wings of Holly Blue LLC's phone number?
- The practice phone number listed in the NPPES registry for The Wings of Holly Blue LLC is (760) 585-5522.
- Who is the authorized official for The Wings of Holly Blue LLC?
- The authorized official listed on The Wings of Holly Blue LLC's NPPES record is Debra Howard, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Wings of Holly Blue LLC's NPI active?
- Yes — The Wings of Holly Blue LLC's NPI (1184480170) is active in the NPPES registry as of the last update on 2024-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.