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SOUTH GEORGIA CSB NPI 1407929730


NPI Information

NPI: 1407929730
Provider Name: SOUTH GEORGIA CSB

Doing Business As: NEW BEGINNINGS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
252 N SAINT AUGUSTINE RD
VALDOSTA, GA
ZIP 31601
Phone: (229) 245-6400
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SOUTH GEORGIA CSB is a mental health (including community mental health center) clinic center in Valdosta, GA. SOUTH GEORGIA CSB NPI is 1407929730. The provider is registered as an organization entity type.
The provider Is Doing Business As New Beginnings.

The provider's business location address is:

252 N SAINT AUGUSTINE RD
VALDOSTA, GA
ZIP 31601-274
Phone: (229) 245-6400
Fax: (229) 249-4996

The provider's authorized official is Brenda Harrell .
The authorized official title is Chief Financial Officer and has the following contact phone number (229) 671-6140.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 1/8/2009.


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)Yes

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
1GRP2255MEDICARE ID-TYPE UNSPECIFIEDGEORGIA
20000742475OMEDICAIDGEORGIA

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: 5/5/2024

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