NPI age
19 years
Enumerated 2007-05-08
● Active Type 2 · Organization
Second Nature Blue Ridge
Second Nature Blue Ridge is 1 of 33 residential treatment facility, emotionally disturbed children organizations in Georgia.
Primary specialty
Residential Treatment Facility, Emotionally Disturbed Children
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Evans
Business Office
Last NPPES update
2012-05-29
Source: monthly bulk 2026-05
How this organization compares
Across 33 active residential treatment facility, emotionally disturbed children providers in Georgia.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
236 File Street
Clayton, GA 305253023
Mailing address
236 File Street
Clayton, GA 305253023
Authorized official
Angie Evans
Business Office
📞 8017666604
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Anthony Issenmann, PH.D Marriage & Family Therapist NPI 1710218805
Specialties
-
Residential Treatment Facility, Emotionally Disturbed Children PrimaryA residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 50017 | STATE LICENSE NUMBER |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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