COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA (NPI# 1891203345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891203345 |
Entity Type | Organization |
Organization Name | COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA |
Other Organization Name | SERENITY BEHAVIORAL HEALTH SYSTEMS |
Practice Address |
1253 Greene St Augusta GA 30901-2127 |
Mailing Address |
3421 Mike Padgett Hwy Augusta GA 30906-3815 |
Practice Telephone | 7064324837 |
Mailing Telephone | 7064324837 |
Enumeration Date | 2018-01-18 |
Last Update Date | 2018-01-18 |
Authorized Official Name | MICHELE PRIOR (BILLING SUPERVISOR) |
Authorized Official Telephone | 7064324837 |
Is Organization Subpart | Y |
Parent Organization Name | COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000606317AS | 05 |
Other Name | Type Code |
---|---|
Serenity Behavioral Health Systems | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013474915 | Community Service Board of East Central Georgia | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1715 Lawerence Rd, Hephzibah, GA 30815-4445 | 2019-02-27 |
1164995965 | Community Service Board of East Central Georgia | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1908 Driftwood Dr, Augusta, GA 30909-4113 | 2019-01-04 |
1023516002 | Community Service Board of East Central Georgia | Community/Behavioral Health | 355 Bobwhite Trl, Grovetown, GA 30813-5886 | 2018-01-25 |
1649718057 | Community Service Board of East Central Georgia | Community/Behavioral Health | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2017-02-06 |
Street Address |
1253 GREENE ST |
City | AUGUSTA |
State | GA |
Zip Code | 30901-2127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
Find all providers in zip 30901 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003431057 | Whitney O'connor | Counselor | 1232 Hickman Rd, Augusta, GA 30904-4733 | 2020-06-15 |
1093339186 | Kari Viola-brooke | Counselor | 2707 Downing St, Augusta, GA 30909-3734 | 2020-06-03 |
1477182541 | Wanda Joy Roberts | Counselor | 250 Milledge Rd, Augusta, GA 30904-3577 | 2020-04-02 |
1376182527 | Colisha Marie Amos | Counselor | 1761 Kissingbower Rd, Augusta, GA 30904-6615 | 2020-01-04 |
1730746009 | Kimberly Bridi | Counselor | 3351 Wrightsboro Rd Ste 301, Augusta, GA 30909-2838 | 2019-05-22 |
1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
1396226445 | Suzanah Richelle Schoen | Counselor | 2821 South Brookside Drive, Augusta, KS 67010-2433 | 2018-08-27 |
1851826267 | Denise Finney | Counselor | 2820 Hillcreek Dr, Suite A, Augusta, GA 30909-5628 | 2017-04-23 |
1043757818 | Marc Story | Counselor | 315 W 4th St Apt 6, Augusta, KY 41002-1089 | 2017-01-31 |
1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
Find all providers in AUGUSTA |
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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.