Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Footprints Behavioral Services, LLC

Organization Case Management Agency · NPI 1083911267

Footprints Behavioral Services, LLC is a Case Management Agency in Vidalia, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 W Pine St
Vidalia, GA 30474-3114
Phone: (912) 537-0140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (GA)
Case Management Agency Taxonomy 251B00000X
Voluntary or Charitable Agency Taxonomy 251V00000X

Record details

NPI number1083911267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ericka Blount — Ceo/Owner · (678) 490-1290
NPI enumeratedFebruary 23, 2011
Last updated in NPPESFebruary 23, 2011
Mailing address5205 Merrick Dr, Peachtree City, GA 30269-6701

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