SUMMIT BHC MONROE, LLC (NPI# 1740654920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740654920 |
| Entity Type | Organization |
| Organization Name | SUMMIT BHC MONROE, LLC |
| Other Organization Name | TWIN LAKES RECOVERY CENTER |
| Practice Address |
398 Highway 11 Sw Monroe GA 30655-6071 |
| Practice Telephone | 7705401112 |
| Practice Fax Number | 8884187712 |
| Mailing Telephone | 7705401112 |
| Mailing Fax Number | 8884187712 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |
| Authorized Official Name | MRS. JEANNA L BOYER (CBO SUPERVISOR) |
| Authorized Official Telephone | 6157215230 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT BEHAVIORAL HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Twin Lakes Recovery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104344068 | Summit Bhc Monroe, LLC | Substance Abuse Rehabilitation Facility | 723 Baxter St Ste C, Athens, GA 30605-1134 | 2017-08-31 |
| 1912371196 | Summit Bhc Monroe, LLC | Substance Abuse Rehabilitation Facility | 204 W Academy St Sw, Gainesville, GA 30501-3557 | 2015-11-25 |
| Street Address |
398 HIGHWAY 11 SW |
| City | MONROE |
| State | GA |
| Zip Code | 30655-6071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881233419 | Addiction Solutions LLC | Substance Abuse Rehabilitation Facility | 216 Ouachita Ave Ste B, Monroe, LA 71201-8513 | 2019-12-30 |
| 1366820706 | Pecan Haven Addiction Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2321 Hwy 80 East, Monroe, LA 71203 | 2015-05-18 |
| 1598037079 | Rays of Sonshine | Substance Abuse Rehabilitation Facility | 200 Breard St, Monroe, LA 71201-6704 | 2012-01-31 |
| 1558902916 | Serenity Sober Livving, LLC | Substance Abuse Rehabilitation Facility | 4600 Reddix Ln, Monroe, LA 71202-5949 | 2019-10-07 |
| 1760044754 | Milestone Recovery | Substance Abuse Rehabilitation Facility | 1805 Martin Luther King Jr Dr, Monroe, LA 71202-4517 | 2019-07-01 |
| 1801326723 | Applegate Health Services, Inc | Substance Abuse Rehabilitation Facility | 3001 Armand St Ste A, Monroe, LA 71201-3761 | 2017-06-13 |
| 1548706765 | Christ Association | Substance Abuse Rehabilitation Facility | 700 S 6th St, Monroe, LA 71202-2226 | 2017-01-11 |
| 1942754049 | Kathy Wright | Substance Abuse Rehabilitation Facility | 1408 E Franklin St, Monroe, NC 28112-5160 | 2016-08-08 |
| 1225410632 | Women Empowering Women, Inc. | Substance Abuse Rehabilitation Facility | 3580 S Custer Rd, Monroe, MI 48161-9774 | 2015-06-22 |
| 1861747578 | Salvation Army Harbor Light | Substance Abuse Rehabilitation Facility | 3250 N Monroe St, Monroe, MI 48162-9297 | 2012-07-18 |
| Find all providers in MONROE | ||||
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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.