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THE PROGRESS PLACE INC NPI 1912140484


NPI Information

NPI: 1912140484
Provider Name: THE PROGRESS PLACE, INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 11D2157983

Address:
2302 PARKLAKE DR NE STE 415
ATLANTA, GA
ZIP 30345
Phone: (678) 894-0288
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THE PROGRESS PLACE, INC is a community behavioral health in Atlanta, 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. THE PROGRESS PLACE, INC NPI is 1912140484. The provider is registered as an organization entity type.

The provider's business location address is:

2302 PARKLAKE DR NE STE 415
ATLANTA, GA
ZIP 30345-896
Phone: (678) 894-0288
Fax: (336) 791-2188

The provider's authorized official is Tonica Angel Logan .
The authorized official title is Ceo and has the following contact phone number (678) 894-0288.

The CLIA number assigned to this NPI record is 11D2157983 - other - behavior health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2009 and was last updated on 8/31/2021.


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
1261Q00000XClinic/CenterNo
2208000000XPediatricsNo
3341600000XAmbulanceNo
4343900000XNon-emergency Medical Transport (VAN)No
5251S00000XCommunity/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
13419164MEDICAIDNORTH CAROLINA
2003141957AMEDICAIDGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.