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MIDDLE GEORGIA ASSOCIATES LLC NPI 1407350630


NPI Information

NPI: 1407350630
Provider Name: MIDDLE GEORGIA ASSOCIATES, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
507 N DAVIS DR STE 1A
WARNER ROBINS, GA
ZIP 31093
Phone: (478) 273-4024
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MIDDLE GEORGIA ASSOCIATES, LLC is a community behavioral health in Warner Robins, 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. MIDDLE GEORGIA ASSOCIATES, LLC NPI is 1407350630. 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) 273-4024
Fax: (478) 352-0125

The provider's authorized official is Lattakka S Salley .
The authorized official title is General Partner and has the following contact phone number (478) 273-3086.

The enumeration date for this NPI number is 3/21/2018 and was last updated on 8/20/2021.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103T00000XPsychologistNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5251B00000XCase ManagementNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
7363L00000XNurse PractitionerNo
8251S00000XCommunity/Behavioral HealthYes

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

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.