OrganizationActive
Amazon Self Development, LLC
NPI 1700062437 · Community/Behavioral Health Agency · Augusta, GA
Provider details
- NPI number
- 1700062437
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Myra Smith, Owner(706) 432-3600
- License
- LPC005104 (GA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
821 12th Sreet
Suite B
Augusta, GA 30901-2749
Phone: (706) 432-3600
Fax: (706) 432-3621
Approximate (ZIP-level) locationGet directions
Mailing address
821 12th Sreet
Augusta, GA 30901
Registry dates
- Enumerated
- 2008-01-11
- Last updated
- 2008-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.