EXCEPTIONAL COMMUNITY SERVICES, INC. (NPI# 1073053641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073053641 |
Entity Type | Organization |
Organization Name | EXCEPTIONAL COMMUNITY SERVICES, INC. |
Practice Address |
225 S Midland Ave Monroe GA 30655-1629 |
Mailing Address |
225 S Midland Avenue Monroe GA 30655 |
Practice Telephone | 7702077702 |
Mailing Telephone | 7702077702 |
Enumeration Date | 2017-03-02 |
Last Update Date | 2017-10-12 |
Authorized Official Name | MRS. KIMBERLY NICOLE LOCKLIN (CEO) |
Authorized Official Telephone | 7702077702 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 253Z00000X | In Home Supportive Care | Agencies | ||
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
N | 251B00000X | Case Management | Agencies | ||
N | 251J00000X | Nursing Care | Agencies | ||
N | 251S00000X | Community/Behavioral Health | GA | Agencies | |
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
225 S MIDLAND AVE |
City | MONROE |
State | GA |
Zip Code | 30655-1629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851315576 | Kallambella Ramesh | Internal Medicine | 225 S Midland Ave, Monroe, GA 30655-1629 | 2006-07-26 |
1275652117 | K.c. Rameshm Md,p.c. | Internal Medicine | 225 S Midland Ave, Monroe, GA 30655-1629 | 2007-03-29 |
1396823225 | Kimberly Nicole Giles | Counselor | 225 S Midland Ave, Monroe, GA 30655-1629 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
Find all providers in zip 30655 |
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] |
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---|---|---|---|---|
1619585122 | Cf Counseling & Consulting, LLC | Community/Behavioral Health | 1500 N 19th St, Monroe, LA 71201-4942 | 2020-07-21 |
1700347598 | Aspirewell, LLC | Community/Behavioral Health | 1615 Jackson St, Monroe, LA 71202-2029 | 2019-03-26 |
1780160390 | Special Care Services of Louisiana Inc | Community/Behavioral Health | 1401 Hudson Ln Ste 135, Monroe, LA 71201-6037 | 2018-07-17 |
1760976062 | Kinena J Dent-smith | Community/Behavioral Health | 207 Raymond St, Monroe, NC 28112 | 2018-06-20 |
1740789312 | Merakey Pennsylvania | Community/Behavioral Health | 1808 Glenmar Ave, Monroe, LA 71201-4932 | 2018-02-08 |
1427563550 | Oak Tree Therapy Pllc | Community/Behavioral Health | 755 Main Street, Building #1, Monroe, CT 06468 | 2017-12-12 |
1972016004 | Straight N Arrow Counseling Service, LLC | Community/Behavioral Health | 111 E 1st St Ste 300, Monroe, MI 48161-2265 | 2017-11-11 |
1346761822 | Inreach | Community/Behavioral Health | 100 Winchester Ave, Monroe, NC 28110-3161 | 2017-07-05 |
1124552088 | The Bridge of Georgia School, Inc | Community/Behavioral Health | 109 Blaine St, Monroe, GA 30655-2403 | 2017-04-18 |
1831630326 | New Direction Peer Recovery Center | Community/Behavioral Health | 201 W Front St, Monroe, MI 48161-2355 | 2017-03-16 |
Find all providers in MONROE |
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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.