ADDICTION RECOVERY SERVICES NPI 1942610845

NPI Information

NPI: 1942610845
Provider Name: ADDICTION RECOVERY SERVICES
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
100 SMITH ST
STE #1
LAGRANGE, GA
ZIP 30240
Phone: (706) 594-4735
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ADDICTION RECOVERY SERVICES is an addiction (substance use disorder) counselor in Lagrange, GA. ADDICTION RECOVERY SERVICES NPI is 1942610845. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 SMITH ST
STE #1
LAGRANGE, GA
ZIP 30240-780
Phone: (706) 594-4735
Fax: (706) 243-4701

The provider's authorized official is Wayde J Washburn .
The authorized official title is Owner/counselor and has the following contact phone number (706) 594-4735.

The enumeration date for this NPI number is 4/30/2014 and was last updated on 4/30/2014.

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	101YM0800X	Counselor	Mental Health	LPC003428	GEORGIA	No
2	101YM0800X	Counselor	Mental Health	LPC002077	GEORGIA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	012692	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: 4/28/2024

NPI Synchronization or Removal

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