DOMINION BEHAVIORAL HEALTH SERVICES LLC NPI 1326674060

NPI Information

NPI: 1326674060
Provider Name: DOMINION BEHAVIORAL HEALTH SERVICES LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
817 PRAIRIE LANE
EVANS, GEORGIA
ZIP 30809
Phone: (804) 218-1993
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DOMINION BEHAVIORAL HEALTH SERVICES LLC is a mental health (including community mental health center) clinic center in Evans, GEORGIA. DOMINION BEHAVIORAL HEALTH SERVICES LLC NPI is 1326674060. The provider is registered as an organization entity type.

The provider's business location address is:

817 PRAIRIE LANE
EVANS, GEORGIA
ZIP 30809
Phone: (804) 218-1993

The provider's authorized official is Anthony Onoh .
The authorized official title is Dnp, Psych Np and has the following contact phone number (804) 218-1993.

The enumeration date for this NPI number is 3/13/2020 and was last updated on 10/28/2022.

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	Primary
1	273R00000X	Psychiatric Unit		No
2	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
3	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
4	323P00000X	Psychiatric Residential Treatment Facility		No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
6	251S00000X	Community/Behavioral Health		No
7	253Z00000X	In Home Supportive Care		No
8	261QH0100X	Clinic/Center	Health Service	No
9	261QM0850X	Clinic/Center	Adult Mental Health	No
10	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
11	324500000X	Substance Abuse Rehabilitation Facility		No
12	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
13	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

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

NPI Synchronization or Removal

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