COBB COUNTY COMMUNITY SERVICES BOARD (NPI# 1033259023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033259023 |
| Entity Type | Organization |
| Organization Name | COBB COUNTY COMMUNITY SERVICES BOARD |
| Practice Address |
331 N Marietta Pkwy Ne Marietta GA 30060-1457 |
| Mailing Address |
3830 S Cobb Dr Se Suite 300 Smyrna GA 30080-5532 |
| Practice Telephone | 7704992422 |
| Mailing Telephone | 7704295000 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TOD CITRON (CEO) |
| Authorized Official Telephone | 7704295000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295870376 | Cobb County Community Services Board | Community/Behavioral Health | 825 Powder Springs St, Apt 701, Marietta, GA 30064-3665 | 2007-02-20 |
| 1720120033 | Cobb County Community Services Board | Day Training, Developmentally Disabled Services | 2051 Greenridge Rd Se, Smyrna, GA 30080-1116 | 2007-02-13 |
| 1316089600 | Cobb County Community Services Board | Day Training, Developmentally Disabled Services | 1930 Veterans Memorial Hwy, Austell, GA 30168-3612 | 2007-02-13 |
| 1720120504 | Cobb County Community Services Board | Day Training, Developmentally Disabled Services | 4715 Lewis Rd, Powder Springs, GA 30127-3130 | 2007-02-12 |
| 1104966977 | Cobb County Community Services Board | Community/Behavioral Health | 3024 Hicks Rd Sw, Marietta, GA 30060-6261 | 2007-02-08 |
| 1346380375 | Cobb County Community Services Board | Community/Behavioral Health | 825 Powder Spring Road, Apt 702 703, Marietta, GA 30064 | 2007-02-07 |
| 1376682088 | Cobb County Community Services Board | Community/Behavioral Health | 6133 Love St, Austell, GA 30168-4711 | 2007-02-06 |
| 1912047572 | Cobb County Community Services Board | Community/Behavioral Health | 5400 S Cobb Dr Se, Smyrna, GA 30080-7421 | 2007-02-06 |
| 1841339579 | Cobb County Community Services Board | Community/Behavioral Health | 505 Commerce Park Dr Se, Suite A, Marietta, GA 30060-2744 | 2007-02-06 |
| 1154460871 | Cobb County Community Services Board | Community/Behavioral Health | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2007-02-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COBB COUNTY COMMUNITY SERVICES BOARD | 3830 S Cobb Dr Ste 300, Smyrna, GA 30080-5535 |
| Street Address |
331 N MARIETTA PKWY NE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699215764 | Ruth Galloway | Social Worker | 331 N Marietta Pkwy Ne, Marietta, GA 30060-1457 | 2017-03-08 |
| 1518405752 | Cobb Douglas Community Services Board | Social Worker | 331 N Marietta Pkwy Ne, Marietta, GA 30060-1457 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| 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 |
|---|---|---|---|---|
| 1346729126 | Cope Behavioral Health LLC | Community/Behavioral Health | 2470 Windy Hill Rd Se Ste 247, Marietta, GA 30067-8619 | 2018-08-13 |
| 1770073488 | Greg Griffin, LLC | Community/Behavioral Health | 3827 Roswell Rd Ste 100c, Marietta, GA 30062-6297 | 2018-05-17 |
| 1982146569 | Positive Reinforcement By Zeus Frazier,inc. | Community/Behavioral Health | 3095 Milford Chase Sw, Marietta, GA 30008-6883 | 2016-11-14 |
| 1710341011 | Infinity Counseling LLC | Community/Behavioral Health | 2420 Wood Meadows Dr Sw, Marietta, GA 30064-4471 | 2016-04-12 |
| 1598148090 | Better Story Counseling, LLC | Community/Behavioral Health | 4985 Lower Roswell Rd, Suite 200, Marietta, GA 30068-4337 | 2015-07-01 |
| 1104256437 | Atlanta Psychoterapy and Consulting, LLC | Community/Behavioral Health | 1647 Lower Roswell Rd, Marietta, GA 30068-3336 | 2013-11-22 |
| 1770827578 | Journey for Learning Independence for Empowerment | Community/Behavioral Health | 1316 Westward Dr Sw, Marietta, GA 30008-4028 | 2012-11-16 |
| 1992057962 | Highland Rivers Community Service Board | Community/Behavioral Health | 3671 Shallowford Rd, Marietta, GA 30062-4185 | 2012-10-15 |
| 1285997551 | Master Plan Christian Counseling | Community/Behavioral Health | 133 Johnson Ferry Rd, Suite 110, Marietta, GA 30068-4923 | 2012-06-20 |
| 1336406545 | Rts Services Unlimited Inc | Community/Behavioral Health | 3823 Roswell Rd Ste 102, Marietta, GA 30062 | 2012-04-12 |
| Find all providers in MARIETTA | ||||
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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.