OrganizationActive
Christopher Martin
NPI 1417820804 · Mental Health Clinic/Center (Including Community Mental Health Center) · Douglas, GA
Provider details
- NPI number
- 1417820804
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Martin, Owner(912) 292-6393
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
618 Bowens Mill Rd Sw
Douglas, GA 31533-3926
Phone: (912) 310-2390
Fax: (912) 701-0472
Street-level locationGet directions
Mailing address
618 Bowens Mill Rd Sw
Douglas, GA 31533-3926
Other names (DBA / former)
- Doing business as
- Blooming Minds Therapy
Registry dates
- Enumerated
- 2025-09-24
- Last updated
- 2025-09-24
- Certified
- 2025-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.