P Praxis·MD
● Active Type 2 · Organization

The Wings Of Holly Blue Llc

Community/Behavioral Health·Moultrie, GA· NPI 1184480170 · Enumerated 2024 · 2 years on NPI
The Wings Of Holly Blue Llc is 1 of 2449 community/behavioral health organizations in Georgia.
NPI age
2 years
Enumerated 2024-02-27
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Howard
Ceo
Last NPPES update
2024-04-11
Source: monthly bulk 2026-05

How this organization compares

Across 2449 active community/behavioral health providers in Georgia.

NPI age
2 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-02Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
815 S Main St
Moultrie, GA 317685434
📞 7605855522fax 7604335414
Mailing address
815 S Main St
Moultrie, GA 317685434
📞 7605855522fax 7604335414

Authorized official

Debra Howard
Ceo
📞 7605855522

Specialties

  • Community/Behavioral Health Primary
    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
    taxonomy 251S00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • TWOHB
    Type code 3 recorded 2024-02-27

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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