UNISON BEHAVIORAL HEALTH (NPI# 1295044030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295044030 |
| Entity Type | Organization |
| Organization Name | UNISON BEHAVIORAL HEALTH |
| Other Organization Name | BACON C & A |
| Practice Address |
108 E 5th St Alma GA 31510-2308 |
| Mailing Address |
1007 Mary St Waycross GA 31503-3823 |
| Practice Telephone | 9124497109 |
| Practice Fax Number | 9124497056 |
| Mailing Telephone | 9124497109 |
| Mailing Fax Number | 9124497056 |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | GLYN THOMAS (CEO) |
| Authorized Official Telephone | 9124497103 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNISON BEHAVIORAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Bacon C & A | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1427368539 | Unison Behavioral Health | Counselor | 551 Old Pearson Rd, Homerville, GA 31634-1724 | 2010-10-08 |
| 1003125287 | Unison Behavioral Health | Community/Behavioral Health | 396 Kingsland Dr, Folkston, GA 31537-2850 | 2010-10-05 |
| 1801051297 | Unison Behavioral Health | Substance Abuse Rehabilitation Facility | 3455 Harris Road, Waycross, GA 31503 | 2008-07-24 |
| 1619014651 | Unison Behavioral Health | Community/Behavioral Health | 1005 Shirley Ave, Douglas, GA 31533 | 2007-01-31 |
| 1164569190 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 636 E Austin Ave, Suite 3, Pearson, GA 31642 | 2007-01-31 |
| 1154468106 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 W Austin Avenue, Pearson, GA 31642 | 2007-01-31 |
| 1962549253 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | Rr 1 Box 3010, Folkston, GA 31537 | 2007-01-30 |
| 1073650115 | Unison Behavioral Health | Community/Behavioral Health | 1003 Mary Street, Waycross, GA 31503 | 2007-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNISON BEHAVIORAL HEALTH GROUP, INC. | 1425 Starr Ave, Toledo, OH 43605-2456 |
| Street Address |
108 E 5TH ST |
| City | ALMA |
| State | GA |
| Zip Code | 31510-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693407 | Shepard Therapy Center | Occupational Therapist | 139 Ga Highway 32 Byp, Alma, GA 31510 | 2019-11-13 |
| 1760027320 | Sean Shepard | Physical Therapist | 139 Ga Hwy 32 Bypass, Alma, GA 31510 | 2019-11-07 |
| 1043875586 | Tricare Ambulance Service L.L.C. | Ambulance | 172 Pine Hollow Ln, Alma, GA 31510 | 2019-05-09 |
| 1053806299 | Eva Fedd | Counselor | 901 North Pierce St, Alma, GA 31510 | 2018-06-29 |
| 1730570268 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1041 S Us Highway 1, Alma, GA 31510 | 2015-02-05 |
| 1356475644 | Bacon County Family Medicine, LLC | Family Medicine | 205 South Wayne Street, Alma, GA 31510 | 2007-03-16 |
| 1720124043 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 1835 W 12th Street, Alma, GA 31510 | 2007-01-30 |
| 1891832952 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 123 Quart Douglas Road, Alma, GA 31510 | 2007-01-30 |
| 1992899082 | George Joel Williams Jr. | Dentist | 408 E 16th St, George J Williams Dds, Alma, GA 31510 | 2006-10-03 |
| 1093829343 | Charles E Bagley Mdpc | Family Medicine | 210 E 16th Street, Alma, GA 31510 | 2006-08-17 |
| Find all providers in zip 31510 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801191945 | Callie Neyer | Counselor | 317 E. Warwick Dr., Alma, MI 48801-1085 | 2011-01-21 |
| 1831701960 | Katlin S Gehringer | Counselor | 317 E Warwick Dr Ste B, Alma, MI 48801-1085 | 2020-08-19 |
| 1154985547 | Lauren Kirsten Marks | Counselor | 724 E Superior St, Alma, MI 48801-1900 | 2019-05-01 |
| 1043546823 | Roxann Leigh Reed | Counselor | 1209 Highway 71 N, Alma, AR 72921-4720 | 2009-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829102 | Estefania Salinas | Counselor | 1565 Benton Blvd Apt 412, Savannah, GA 31407-0408 | 2020-10-21 |
| 1225636392 | Courtney Hampton | Counselor | 1800 Wesleyan Dr Apt 95, Macon, GA 31210-1075 | 2020-10-12 |
| 1063010247 | Jeffrey Heath Williamson | Counselor | 3350 Lansbury Village Dr Apt 2, Atlanta, GA 30341-5749 | 2020-10-11 |
| 1548868730 | Dynamic Change | Counselor | 2255 Cumberland Pkwy Se Ste 240, Atlanta, GA 30339-4515 | 2020-10-11 |
| 1871191023 | Nichole Harden-gresham | Counselor | 3837 Bay Orchard Ln, Loganville, GA 30052-6611 | 2020-10-10 |
| 1497362917 | Valerie Larkin | Counselor | 139 W Ellis Rd Ste A, Griffin, GA 30223-7149 | 2020-09-29 |
| 1700493798 | Nathaniel Johnson | Counselor | 612 Beretta Dr, Grovetown, GA 30813-2198 | 2020-09-24 |
| 1346857463 | Jefferson Counseling, LLC | Counselor | 20 Lee St Ste 5, Jefferson, GA 30549-6327 | 2020-09-24 |
| 1376158360 | Two Rivers Counseling and Psychological Services, LLC | Counselor | 72 Bonnie Reed Psge, Midway, GA 31320-4925 | 2020-09-15 |
| 1861007064 | Tara Tanksley Stallings | Counselor | 1734 Jenkins St, Augusta, GA 30904-3736 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.