UNISON BEHAVIORAL HEALTH (NPI# 1003125287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003125287 |
| Entity Type | Organization |
| Organization Name | UNISON BEHAVIORAL HEALTH |
| Other Organization Name | CHARLTON C&A |
| Practice Address |
396 Kingsland Dr Folkston GA 31537-2850 |
| Mailing Address |
1007 Mary St Waycross GA 31503-3823 |
| Practice Telephone | 9124497109 |
| Practice Fax Number | 9124497056 |
| Mailing Telephone | 9124497109 |
| Mailing Fax Number | 9124497056 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | GLYN THOMAS (CEO) |
| Authorized Official Telephone | 9124497103 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNISON BEHAVIORAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Charlton BHS Outpatient | Doing Business As Name - Organization |
| Charlton C&A | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1427368539 | Unison Behavioral Health | Counselor | 551 Old Pearson Rd, Homerville, GA 31634-1724 | 2010-10-08 |
| 1801051297 | Unison Behavioral Health | Substance Abuse Rehabilitation Facility | 3455 Harris Road, Waycross, GA 31503 | 2008-07-24 |
| 1619014651 | Unison Behavioral Health | Community/Behavioral Health | 1005 Shirley Ave, Douglas, GA 31533 | 2007-01-31 |
| 1164569190 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 636 E Austin Ave, Suite 3, Pearson, GA 31642 | 2007-01-31 |
| 1154468106 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 W Austin Avenue, Pearson, GA 31642 | 2007-01-31 |
| 1962549253 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | Rr 1 Box 3010, Folkston, GA 31537 | 2007-01-30 |
| 1073650115 | Unison Behavioral Health | Community/Behavioral Health | 1003 Mary Street, Waycross, GA 31503 | 2007-01-30 |
| 1588701635 | Unison Behavioral Health | Community/Behavioral Health | 2033 Bell Street, Waycross, GA 31503 | 2007-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNISON BEHAVIORAL HEALTH GROUP, INC. | 1425 Starr Ave, Toledo, OH 43605-2456 |
| Street Address |
396 KINGSLAND DR |
| City | FOLKSTON |
| State | GA |
| Zip Code | 31537-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124390216 | Charlton Cs | Day Training, Developmentally Disabled Services | 3010 Homeland Park Rd, Folkston, GA 31537 | 2012-02-03 |
| 1962549253 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | Rr 1 Box 3010, Folkston, GA 31537 | 2007-01-30 |
| 1922018159 | Albert Marion Thompson Jr. | Family Medicine | 1203 N 3rd St, Folkston, GA 31537-0188 | 2006-08-09 |
| 1063413706 | Ghislain Richard Perron | Family Medicine | 1001 N 3rd St, Folkston, GA 31537-1301 | 2005-08-03 |
| 1760419063 | Heather G Peebles | Dietitian, Registered | 1209 N 3rd St, Folkston, GA 31537-1303 | 2006-06-26 |
| 1619979812 | Hal London | Emergency Medicine | 1203 N 3rd St, Folkston, GA 31537-1303 | 2005-06-01 |
| 1295174381 | Will Cameron Duncan | Physical Therapist | 1203 N 3rd St, Folkston, GA 31537-1303 | 2013-06-21 |
| 1841540622 | Stephanie Lisa Mcnulty | Physical Therapist | 1203 N 3rd St, Folkston, GA 31537-1303 | 2012-09-19 |
| 1700027364 | Robert Duaine Lott | Emergency Medicine | 1203 N 3rd St, Folkston, GA 31537-1303 | 2009-03-11 |
| 1932108594 | Jaimee Denyse Garcia | Physical Therapist | 1203 N 3rd St, Folkston, GA 31537-1303 | 2005-07-18 |
| Find all providers in zip 31537 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376160 | Love, Breanna Olivia Zion Enterprise,llc(lboz): | Community/Behavioral Health | 9802 N Ivy Park Dr, Fortson, GA 31808-7130 | 2020-11-02 |
| 1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
| 1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
| 1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.