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

Imago Dei Therapeutic Services, LLC

Organization Behavior Analyst · NPI 1164358289

Imago Dei Therapeutic Services, LLC is a Behavior Analyst in Waycross, Georgia. Registered with an NPI since 2026.

In the registry since
2026
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

325 Hatcher Point Rd
Waycross, GA 31503-7959
Phone: (912) 286-3737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1164358289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Foy — Owner · (912) 286-3737
NPI enumeratedJune 18, 2026
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address363 Joyce Rd, Waycross, GA 31503-2901

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