INTEGRATED BEHAVIORAL CENTER PC NPI 1649201625

NPI Information

  • NPI: 1649201625
  • Provider Name: INTEGRATED BEHAVIORAL CENTER PC
  • Classification: Social Worker - 104100000X
  • Entity Type: Organization
  • Address: 1121 CORNELL AVENUE
    SAVANNAH, GA
    ZIP 31406
  • Phone: (912) 355-4987

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NPI Details

INTEGRATED BEHAVIORAL CENTER PC is a social worker in Savannah, GA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. INTEGRATED BEHAVIORAL CENTER PC NPI is 1649201625. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1121 CORNELL AVENUE
SAVANNAH, GA
ZIP 31406
Phone: (912) 355-4987
Fax: (912) 353-7257

The provider's authorized official is Manoj K Dass .
The authorized official title is President and has the following contact phone number (912) 355-4987.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 9/11/2025.

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
12084P0800XPsychiatry & NeurologyPsychiatry22536GEORGIANo
2104100000XSocial Worker002990GEORGIAYes

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
100235034AMEDICAIDGEORGIA

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: 11/21/2025

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