Provider Type Icon

FAMILY COUNSELING CENTER OF THE CSRA INC. NPI 1952423790


NPI Information

NPI: 1952423790
Provider Name: FAMILY COUNSELING CENTER OF THE CSRA, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 11D2269283

Address:
1120 MARKS CHURCH RD
AUGUSTA, GA
ZIP 30909
Phone: (706) 868-5011
Get Directions

FAMILY COUNSELING CENTER OF THE CSRA, INC. is a rehabilitation and substance use disorder clinic center in Augusta, GA. FAMILY COUNSELING CENTER OF THE CSRA, INC. NPI is 1952423790. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1120 MARKS CHURCH RD
AUGUSTA, GA
ZIP 30909-670
Phone: (706) 868-5011
Fax: (706) 868-5011

The provider's authorized official is Celina Keys .
The authorized official title is Executive Director and has the following contact phone number (706) 868-5011.

The CLIA number assigned to this NPI record is 11D2269283 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 9/13/2023.


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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4101YP2500XCounselorProfessionalNo
51041C0700XSocial WorkerClinicalNo
6106H00000XMarriage & Family TherapistNo
7171M00000XCase Manager/Care CoordinatorNo
8261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.