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ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES LLC NPI 1508051178


NPI Information

NPI: 1508051178
Provider Name: ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, LLC

Other Name: ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, LLC.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4146 HIGHWAY 278 NE
COVINGTON, GA
ZIP 30014
Phone: (770) 787-3788
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ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, LLC is a community behavioral health in Covington, 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. ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, LLC NPI is 1508051178. The provider is registered as an organization entity type.
The provider Other Name Is Asfc Outreach Therapeutic Counseling Services, Llc..

The provider's business location address is:

4146 HIGHWAY 278 NE
COVINGTON, GA
ZIP 30014-494
Phone: (770) 787-3788
Fax: (770) 786-5159

The provider's authorized official is Sherry Simpson .
The authorized official title is Director and has the following contact phone number (770) 787-3788.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 7/8/2010.


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
1251B00000XCase ManagementNo
23245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
3251S00000XCommunity/Behavioral HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1942032473AMEDICAIDGEORGIA

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

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