CLAYTON CENTER MHADDD NPI 1033307731

NPI Information

  • NPI: 1033307731
  • Provider Name: CLAYTON CENTER MHADDD
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: CLAYTON CSB
  • CLIA Number: 11D2060251
  • Address: 1396 SOUTHLAKE PLAZA DRIVE
    MORROW, GA
    ZIP 30260
  • Phone: (770) 473-2640

Map and Directions

Get Directions

NPI Details

CLAYTON CENTER MHADDD is a community behavioral health in Morrow, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. CLAYTON CENTER MHADDD NPI is 1033307731. The provider is registered as an organization entity type.
The provider Is Doing Business As Clayton Csb.

The provider's business location address is:

1396 SOUTHLAKE PLAZA DRIVE
MORROW, GA
ZIP 30260-756
Phone: (770) 473-2640
Fax: (770) 473-2601

The provider's authorized official is Aundria D Cheever .
The authorized official title is Chief Executive Officer and has the following contact phone number (770) 478-2280.

The CLIA number assigned to this NPI record is 11D2060251 - other - behavioral hlth ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 3/9/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)GEORGIANo
3261QM0850XClinic/CenterAdult Mental HealthNo
4251B00000XCase ManagementNo
5251S00000XCommunity/Behavioral HealthNo
6101Y00000XCounselorNo
7261QM0850XClinic/CenterAdult Mental HealthGEORGIANo
8251B00000XCase ManagementGEORGIANo
9251S00000XCommunity/Behavioral HealthGEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000604205BMEDICAIDGEORGIA
200604205RMEDICAIDGEORGIA
368BBDKBMEDICARE PINGEORGIA
4GRP2322MEDICARE PINGEORGIA

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI