WOODSTOCK TREATMENT CENTER LLC (NPI# 1508405150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508405150 |
| Entity Type | Organization |
| Organization Name | WOODSTOCK TREATMENT CENTER LLC |
| Practice Address |
270 Heritage Walk Woodstock GA 30188-3875 |
| Mailing Address |
403 Mount Paran Rd Atlanta GA 30327-3502 |
| Practice Telephone | 6784945700 |
| Mailing Telephone | 4045457279 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | MS. NADINE MCDONALD (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6783679780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Woodstock Treatment Center | Doing Business As Name - Organization |
| Street Address |
270 HERITAGE WALK |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
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| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1275165755 | Walton County Treatment Center LLC | Clinic/Center | 3543 Highway 81 Ste 201, Loganville, GA 30052-4336 | 2020-02-12 |
| 1023640596 | Georgia Treatment Center LLC | Clinic/Center | 514 W Maple St Ste 1206, Cumming, GA 30040-2536 | 2020-02-12 |
| 1417587502 | Ringgold Treatment Center LLC | Clinic/Center | 8292 Highway 41, Ringgold, GA 30736-2354 | 2020-01-17 |
| 1952931164 | Southeast Georgia Treatment Center | Clinic/Center | 816 Professional Center Dr, Eastman, GA 31023-6734 | 2020-01-16 |
| 1588208128 | Narquest Healthcare Services, LLC | Clinic/Center | 1766 Memorial Dr Ste 3, Waycross, GA 31501-1098 | 2019-11-06 |
| 1619511334 | Douglasville Healthcare Services, LLC | Clinic/Center | 4158 Washington Rd Ste 4, Evans, GA 30809-4720 | 2019-11-06 |
| 1013551662 | Newnan Healthcare Services, LLC | Clinic/Center | 931 Lower Fayetteville Rd Ste K, Newnan, GA 30263-5790 | 2019-11-06 |
| 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.