COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA


Address: 1253 Greene St, Augusta, GA 30901-2127
Phone: 7064324837

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 000606317AS 05

Other Provider/Organization Names

Other Name Type Code
Serenity Behavioral Health Systems Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1253 GREENE ST
City AUGUSTA
State GA
Zip Code 30901-2127

Providers in the same zip code

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 Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City AUGUSTA
Zip Code 30901

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Dataset Information

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.

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