THE CENTER FOR CLINICAL SUPERVISION AND PROFESSIONAL DEVELOPMENT LLC NPI 1053815480

NPI Information

  • NPI: 1053815480
  • Provider Name: THE CENTER FOR CLINICAL SUPERVISION AND PROFESSIONAL DEVELOPMENT, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 507 N DAVIS DR STE 1A
    WARNER ROBINS, GA
    ZIP 31093
  • Phone: (478) 238-3795

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NPI Details

THE CENTER FOR CLINICAL SUPERVISION AND PROFESSIONAL DEVELOPMENT, LLC is a mental health (including community mental health center) clinic center in Warner Robins, GA. THE CENTER FOR CLINICAL SUPERVISION AND PROFESSIONAL DEVELOPMENT, LLC NPI is 1053815480. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

507 N DAVIS DR STE 1A
WARNER ROBINS, GA
ZIP 31093-687
Phone: (478) 238-3795
Fax: (478) 202-9018

The provider's authorized official is Anissa Kenyatta Howard .
The authorized official title is Executive Director and has the following contact phone number (478) 238-3795.

The enumeration date for this NPI number is 3/20/2018 and was last updated on 7/26/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103T00000XPsychologistNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5251B00000XCase ManagementNo
6251S00000XCommunity/Behavioral HealthNo
7261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
8363L00000XNurse PractitionerNo

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

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