GEORGIA BEHAVIORAL SERVICES LLC NPI 1861931172

NPI Information

  • NPI: 1861931172
  • Provider Name: GEORGIA BEHAVIORAL SERVICES, LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Former Legal Business Name: SUBSTANCE ABUSE SERVICES
  • CLIA Number: 11D2212624
  • Address: 104 BORDERS WAY STE 500
    WARNER ROBINS, GA
    ZIP 31088
  • Phone: (478) 352-0422

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NPI Details

GEORGIA BEHAVIORAL SERVICES, LLC is an addiction (substance use disorder) counselor in Warner Robins, GA. GEORGIA BEHAVIORAL SERVICES, LLC NPI is 1861931172. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Substance Abuse Services.

The provider's business location address is:

104 BORDERS WAY STE 500
WARNER ROBINS, GA
ZIP 31088-967
Phone: (478) 352-0422
Fax: (888) 813-6815

The provider's authorized official is Darla Nicole Jackson .
The authorized official title is Ceo and has the following contact phone number (478) 352-0422.

The CLIA number assigned to this NPI record is 11D2212624 - other - datep with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2017 and was last updated on 2/21/2019.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)1083GEORGIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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