UNISON BEHAVIORAL HEALTH (NPI# 1063559011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063559011 |
| Entity Type | Organization |
| Organization Name | UNISON BEHAVIORAL HEALTH |
| Other Organization Name | SATILLA COMMUNITY SERVICES |
| Practice Address |
1007 Mary Street Waycross GA 31503 |
| Practice Telephone | 9124497100 |
| Practice Fax Number | 9124497056 |
| Mailing Telephone | 9124497100 |
| Mailing Fax Number | 9124497056 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | MR. ALLEN BROWN (CEO) |
| Authorized Official Telephone | 9124497100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000768963N | 05 |
| Other Name | Type Code |
|---|---|
| Satilla Community Services | Former Legal Business Name - 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 |
| 1003125287 | Unison Behavioral Health | Community/Behavioral Health | 396 Kingsland Dr, Folkston, GA 31537-2850 | 2010-10-05 |
| 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 |
| 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 |
1007 MARY STREET |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073568838 | Unison Behavioral Health Pharmacy | Pharmacy | 1007 Mary Street, Waycross, GA 31501 | 2006-05-23 |
| 1134608367 | Latoya Lasha Woodard | Counselor | 1007 Mary Street, Waycross, GA 31503 | 2018-08-08 |
| 1457518466 | Unison Behavioral Health | Community/Behavioral Health | 1007 Mary Street, Waycross, GA 31503 | 2008-05-19 |
| 1437296472 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1007 Mary Street, Waycross, GA 31503 | 2007-01-31 |
| 1528104866 | Unison Behavioral Health | Community/Behavioral Health | 1007 Mary Street, Waycross, GA 31503 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770855868 | Bertha Richardsaon | Community/Behavioral Health | 1614 Carswell Ave, Waycross, GA 31503 | 2012-02-03 |
| 1134365893 | Carla Pye Winn | Nurse Practitioner | 1003 Mary St, Waycross, GA 31503 | 2008-12-31 |
| 1801051297 | Unison Behavioral Health | Substance Abuse Rehabilitation Facility | 3455 Harris Road, Waycross, GA 31503 | 2008-07-24 |
| 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 |
| 1801933957 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 3201 Harris Road, Waycross, GA 31503 | 2007-01-30 |
| 1902943046 | Unison Behavioral Health | Community/Behavioral Health | 310 Williams Street, Waycross, GA 31503 | 2007-01-30 |
| 1285770578 | Unison Behavioral Health | Community/Behavioral Health | 305 N Nicholls Street, Waycross, GA 31503 | 2007-01-30 |
| 1538223672 | Diversified Resources, Inc. | Case Manager/Care Coordinator | 147 Knight Ave Cir, Waycross, GA 31503 | 2006-12-21 |
| 1669578167 | James Gregory Morris | Dentist | 2458 Memorial Drive, Waycross, GA 31503 | 2006-09-15 |
| Find all providers in zip 31503 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245337146 | Joletha Williams | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 601 Mcdonald St, Waycross, GA 31503-4704 | 2006-09-20 |
| 1487185492 | Donnel Cross Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1007 Mary St, Waycross, GA 31503-3823 | 2017-03-22 |
| 1780126185 | Willie Colquitt Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1007 Mary St, Waycross, GA 31503-3823 | 2016-11-16 |
| 1669922332 | Altomese Neloms Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1007 Mary St, Waycross, GA 31503-3823 | 2016-10-06 |
| 1396121778 | Dailey/spell Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1007 Mary St, Waycross, GA 31503-3823 | 2015-08-07 |
| 1508255688 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1007 Mary St, Waycross, GA 31503-3823 | 2015-01-13 |
| 1871998229 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1007 Mary St, Waycross, GA 31503-3823 | 2014-10-28 |
| 1437296472 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1007 Mary Street, Waycross, GA 31503 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764925 | Calveina Forde | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 538 Country Lake Dr, Mcdonough, GA 30252-2683 | 2020-09-10 |
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1023677713 | Earlean Blackwell | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1865 Waldrep Cir Se, Marietta, GA 30060-4927 | 2019-06-06 |
| 1629535216 | Carpenter Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 806 Grady Ave N, Douglas, GA 31533-4812 | 2019-03-01 |
| 1700354859 | View Point Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 160 Longstreet Cir, Oxford, GA 30054-2244 | 2018-11-07 |
| 1760950901 | View Point Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2116 Tudor Castle Cir, Decatur, GA 30035-2158 | 2018-11-06 |
| 1144747437 | Willie Mae Berry Pugh | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2013 Teal Court, Hephzibah, GA 30815 | 2017-08-28 |
| 1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
| 1093175283 | Peaceful River Residential Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 746 Rudgate Rd, Columbus, GA 31904-2929 | 2016-03-01 |
| 1548649494 | Prestige Community Living Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2328 Bigwood Trl, Atlanta, GA 30349-9049 | 2015-05-26 |
| 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.