OrganizationActive
Behavioral Health Crisis Center
NPI 1518396548 · Mental Health Clinic/Center (Including Community Mental Health Center) · Valdosta, GA
Provider details
- NPI number
- 1518396548
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stefanie Jackson, Cfo(229) 671-6140
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
3116 North Oak Street Ext
Valdosta, GA 31602-5910
Phone: (229) 671-6100
Fax: (229) 671-6774
Approximate (ZIP-level) locationGet directions
Mailing address
3120 N Oak Street Ext Ste C
Valdosta, GA 31602-5910
Registry dates
- Enumerated
- 2013-11-12
- Last updated
- 2013-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.