HIGHLAND RIVERS COMMUNITY SERVICE BOARD


Address: 3671 Shallowford Rd, Marietta, GA 30062-4185
Phone: 7062705033

HIGHLAND RIVERS COMMUNITY SERVICE BOARD (NPI# 1992057962) 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) 1992057962
Entity Type Organization
Organization Name HIGHLAND RIVERS COMMUNITY SERVICE BOARD
Practice Address 3671 Shallowford Rd
Marietta
GA 30062-4185
Mailing Address 1401 Applewood Dr Ste 1
Dalton
GA 30720-2699
Practice Telephone 7062705033
Practice Fax Number 7063707749
Mailing Telephone 7062705033
Mailing Fax Number 7063707749
Enumeration Date 2012-10-15
Last Update Date 2012-10-16
Authorized Official Name ROBIN WHITLOW (BILLING MANAGER)
Authorized Official Telephone 7062705033
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
GA 000936559CH 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144560491 Highland Rivers Community Service Board Community/Behavioral Health 395 April Ln, Blue Ridge, GA 30513-4316 2013-02-25
1518205046 Highland Rivers Community Service Board Community/Behavioral Health 75 Parksbrook Rd, Ellijay, GA 30540-7477 2013-01-17
1568708741 Highland Rivers Community Service Board Community/Behavioral Health 167 Wild Rose Dr, Chatsworth, GA 30705-3197 2012-12-17
1770829103 Highland Rivers Community Service Board Community/Behavioral Health 7 Crosscreek Dr Nw, Rome, GA 30165-1202 2012-12-12
1003160284 Highland Rivers Community Service Board Community/Behavioral Health 2133 Old Federal Rd S, Chatsworth, GA 30705-4701 2012-11-09
1912250820 Highland Rivers Community Service Board Community/Behavioral Health 123 Lewis St, Summerville, GA 30747-1260 2012-10-17
1629321526 Highland Rivers Community Service Board Community/Behavioral Health 227 Broad St, Tallapoosa, GA 30176-1128 2012-10-17
1427301324 Highland Rivers Community Service Board Community/Behavioral Health 32 Arnold Ln, Hiram, GA 30141-3900 2012-10-17
1518210418 Highland Rivers Community Service Board Community/Behavioral Health 268 Canaan Rd, Ellijay, GA 30540-0849 2012-10-17
1598018491 Highland Rivers Community Service Board Community/Behavioral Health 4 Glenda Dr Sw, Rome, GA 30165-3622 2012-10-17

Office Location

Street Address 3671 SHALLOWFORD RD
City MARIETTA
State GA
Zip Code 30062-4185

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619578051 Pamela D Kretzmer Social Worker 3855 Shallowford Road, Suite 420, Marietta, GA 30062 2020-11-03
1932714680 Michelle Chambless Physical Therapist Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 2020-09-10
1700408887 Life University Chiropractor 1323 Roswell Road, Marietta, GA 30062 2020-05-12
1104451160 Sno Healthcare Group Clinic/Center 2424 Roswell Rd Ste 120, Marietta, GA 30062 2020-03-10
1811536212 Sandy Plains Dental Group, PC Dentist 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 2020-01-02
1073159034 Magdala Tulcie Jodesty-jackson Social Worker 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 2019-11-25
1598235178 Matthew Driggers Counselor 4343 Shallowford Rd C2, Marietta, GA 30062 2018-11-27
1750895785 Emily Grace Minday Counselor 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 2017-11-29
1477072122 Jason Lee Amos Speech-Language Pathologist 3660 Chestnut Ridge Court, Marietta, GA 30062 2017-09-13
1346761376 Marian Pomaah Opoku-agyeman Nurse Practitioner 4661 Andrea Pointe, Marietta, GA 30062 2017-06-29
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346729126 Cope Behavioral Health LLC Community/Behavioral Health 2470 Windy Hill Rd Se Ste 247, Marietta, GA 30067-8619 2018-08-13
1770073488 Greg Griffin, LLC Community/Behavioral Health 3827 Roswell Rd Ste 100c, Marietta, GA 30062-6297 2018-05-17
1982146569 Positive Reinforcement By Zeus Frazier,inc. Community/Behavioral Health 3095 Milford Chase Sw, Marietta, GA 30008-6883 2016-11-14
1710341011 Infinity Counseling LLC Community/Behavioral Health 2420 Wood Meadows Dr Sw, Marietta, GA 30064-4471 2016-04-12
1598148090 Better Story Counseling, LLC Community/Behavioral Health 4985 Lower Roswell Rd, Suite 200, Marietta, GA 30068-4337 2015-07-01
1104256437 Atlanta Psychoterapy and Consulting, LLC Community/Behavioral Health 1647 Lower Roswell Rd, Marietta, GA 30068-3336 2013-11-22
1770827578 Journey for Learning Independence for Empowerment Community/Behavioral Health 1316 Westward Dr Sw, Marietta, GA 30008-4028 2012-11-16
1285997551 Master Plan Christian Counseling Community/Behavioral Health 133 Johnson Ferry Rd, Suite 110, Marietta, GA 30068-4923 2012-06-20
1336406545 Rts Services Unlimited Inc Community/Behavioral Health 3823 Roswell Rd Ste 102, Marietta, GA 30062 2012-04-12
1184999526 Focus Light Integrated Treatment and Counseling Counseling Center Community/Behavioral Health 20 Ayers Ave Ne, Marietta, GA 30060-2112 2012-03-19
Find all providers in MARIETTA

Competitor

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City MARIETTA
Zip Code 30062

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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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