COBB DOUGLAS COMMUNITY SERVICES BOARD (NPI# 1750442331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750442331 |
| Entity Type | Organization |
| Organization Name | COBB DOUGLAS COMMUNITY SERVICES BOARD |
| Practice Address |
3830 S Cobb Dr Se Suite 300 Smyrna GA 30080-5532 |
| Practice Telephone | 7704295000 |
| Mailing Telephone | 7704295000 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TOD CITRON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7704295000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518405752 | Cobb Douglas Community Services Board | Social Worker | 331 N Marietta Pkwy Ne, Marietta, GA 30060-1457 | 2017-02-08 |
| Street Address |
3830 S COBB DR SE SUITE 300 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-5532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790224376 | Judith Masching | Counselor | 3830 S Cobb Dr Se, Smyrna, GA 30080-5532 | 2017-02-16 |
| 1053859215 | Woodrina Layton | Counselor | 3830 S Cobb Dr Se, Suite 300, Smyrna, GA 30080-5532 | 2017-02-08 |
| 1740728542 | Jamie Allison | Counselor | 3830 S Cobb Dr Se, Suite 300, Smyrna, GA 30080-5532 | 2017-02-01 |
| 1720290471 | Bryan Gilbert Stephens | Counselor | 3830 S Cobb Dr Se, Smyrna, GA 30080-5532 | 2007-05-04 |
| 1194879304 | Melina Friedman | Optometrist | 3830 S Cobb Dr Se, Suite 125, Smyrna, GA 30080-5532 | 2007-01-23 |
| 1063574689 | Cobb Douglas Community Service Board | Community/Behavioral Health | 3830 S Cobb Dr Se, Suite 300, Smyrna, GA 30080-5532 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| 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 |
|---|---|---|---|---|
| 1609423813 | Nu Beginning Center, LLC | Community/Behavioral Health | 229 North Main Street, Smyrna, DE 19977 | 2019-08-22 |
| 1528509874 | Atlanta Vinings Counseling Service | Community/Behavioral Health | 1326 Concord Rd Se, Suite C, Smyrna, GA 30080-5309 | 2017-03-19 |
| 1386180487 | Advent Counseling and Training Services Inc | Community/Behavioral Health | 4100 King Springs Rd Se, Smyrna, GA 30082-4207 | 2017-01-12 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1699058495 | Bethel Behavioral Health | Community/Behavioral Health | 101 Walton Way Se, Smyrna, GA 30082-3849 | 2011-09-28 |
| 1518283571 | Paramount Project Management Inc | Community/Behavioral Health | 4941 S Cobb Dr Se, Smyrna, GA 30080-7147 | 2010-04-15 |
| 1164655387 | Life Point Family Counseling Center | Community/Behavioral Health | 1246a Concord Rd Se Ste 204, Smyrna, GA 30080-4360 | 2009-09-04 |
| 1649468588 | Innovisions for Families, LLC | Community/Behavioral Health | 1254 Concord Rd Se Ste 105, Smyrna, GA 30080-4371 | 2007-10-04 |
| 1790988475 | Families First | Community/Behavioral Health | 2300 Lake Park Dr Se, Suite 100, Smyrna, GA 30080-4076 | 2007-06-08 |
| 1912047572 | Cobb County Community Services Board | Community/Behavioral Health | 5400 S Cobb Dr Se, Smyrna, GA 30080-7421 | 2007-02-06 |
| Find all providers in SMYRNA | ||||
Please comment or provide details below to improve the information on COBB DOUGLAS COMMUNITY SERVICES BOARD.
| 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.