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COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA NPI 1891203345


NPI Information

NPI: 1891203345
Provider Name: COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA

Doing Business As: SERENITY BEHAVIORAL HEALTH SYSTEMS

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1253 GREENE ST
AUGUSTA, GA
ZIP 30901
Phone: (706) 432-4837
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COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA is a mental health counselor in Augusta, GA. COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA NPI is 1891203345. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Serenity Behavioral Health Systems.

The provider's business location address is:

1253 GREENE ST
AUGUSTA, GA
ZIP 30901-127
Phone: (706) 432-4837

The provider's authorized official is Michele Prior .
The authorized official title is Billing Supervisor and has the following contact phone number (706) 432-4837.

The enumeration date for this NPI number is 1/18/2018 and was last updated on 1/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000606317ASMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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