GEORGIA BEHAVIORAL SERVICES LLC NPI 1861931172

NPI Information

NPI: 1861931172
Provider Name: GEORGIA BEHAVIORAL SERVICES, LLC

Former Legal Business Name: SUBSTANCE ABUSE SERVICES

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
104 BORDERS WAY STE 500
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 352-0422
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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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1083	GEORGIA	Yes

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

NPI Synchronization or Removal

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