UNISON BEHAVIORAL HEALTH (NPI# 1619014651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619014651 |
| Entity Type | Organization |
| Organization Name | UNISON BEHAVIORAL HEALTH |
| Other Organization Name | SATILLA COMMUNITY SERVICES |
| Practice Address |
1005 Shirley Ave Douglas GA 31533 |
| Mailing Address |
1007 Mary Street Waycross GA 31503 |
| Practice Telephone | 9123894188 |
| Practice Fax Number | 9124497056 |
| Mailing Telephone | 9124497100 |
| Mailing Fax Number | 9124497056 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | MR. ALLEN BROWN (CEO) |
| Authorized Official Telephone | 9124497100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Satilla Community Services | Former Legal Business Name - 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 |
| 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 |
| 1588701635 | Unison Behavioral Health | Community/Behavioral Health | 2033 Bell 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 |
1005 SHIRLEY AVE |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881210102 | Isadora Burnham | Marriage & Family Therapist | 1005 Shirley Ave, Douglas, GA 31533-2123 | 2020-06-23 |
| 1275887440 | Kimberly Brooke Bennett | Counselor | 1005 Shirley Ave, Douglas, GA 31533 | 2012-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561509 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1507 3rd St, Douglas, AK 99824 | 2020-06-03 |
| 1831659473 | The Kiddo's Club LLC | Community/Behavioral Health | 3319 W Lariat Ln, Douglas, AZ 85607-6147 | 2019-03-20 |
| 1124584644 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1507 3rd Street, Douglas, AK 99824 | 2019-02-20 |
| 1932620390 | Southeastern Arizona Behavioral Health Service, Inc | Community/Behavioral Health | 936 F Ave Ste B, Douglas, AZ 85607-2024 | 2017-07-06 |
| 1407262512 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 661 N G Ave, Douglas, AZ 85607-2105 | 2014-07-09 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1669899373 | Pinal Hispanic Council | Community/Behavioral Health | 1930 E 11th St, Douglas, AZ 85607-2413 | 2014-03-20 |
| 1346675394 | Corazon Inc. | Community/Behavioral Health | 936 F Ave Ste A&b, Douglas, AZ 85607-2001 | 2013-09-10 |
| 1689946808 | Dorothy Dixon | Community/Behavioral Health | 552 Creekwood Rd, Douglas, GA 31535-1918 | 2012-02-03 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| Find all providers in DOUGLAS | ||||
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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.