SUMMIT BHC MONROE, LLC (NPI# 1104344068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104344068 |
| Entity Type | Organization |
| Organization Name | SUMMIT BHC MONROE, LLC |
| Practice Address |
723 Baxter St Ste C Athens GA 30605-1134 |
| Mailing Address |
389 Nichol Mill Ln Ste 100 Franklin TN 37067-4887 |
| Practice Telephone | 7702663733 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | BROOKE ZIMMERMAN (DIRECTOR) |
| Authorized Official Telephone | 6157164923 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT BHC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740654920 | Summit Bhc Monroe, LLC | Substance Abuse Rehabilitation Facility | 398 Highway 11 Sw, Monroe, GA 30655-6071 | 2015-11-25 |
| 1912371196 | Summit Bhc Monroe, LLC | Substance Abuse Rehabilitation Facility | 204 W Academy St Sw, Gainesville, GA 30501-3557 | 2015-11-25 |
| Street Address |
723 BAXTER ST STE C |
| City | ATHENS |
| State | GA |
| Zip Code | 30605-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
| 1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
| 1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1417374869 | Northeast Georgia Wellness Associates, LLC | Dietitian, Registered | 1197 Cedar Shoals Drive #103, Athens, GA 30605 | 2014-03-24 |
| 1245571272 | Optimum Medical Healthcare | Durable Medical Equipment & Medical Supplies | 1715 Cedar Shoals Drive, Athens, GA 30605 | 2013-03-15 |
| 1972850709 | Sandra Joy Motte | Occupational Therapy Assistant | 275 Woodgrove Dr, Athens, GA 30605 | 2012-08-10 |
| 1124309851 | Kasey Brown | Social Worker | 188 S. Milledge Ave., Suite 2, Athens, GA 30605 | 2011-09-08 |
| 1154652071 | Chris Mayo Counseling and Psychotherapy, Lcsw, LLC | Social Worker | 135 Milford Dr, Athens, GA 30605 | 2010-01-15 |
| 1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
| Find all providers in zip 30605 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073908786 | Georgia Detox and Recovery, LLC | Substance Abuse Rehabilitation Facility | 230 Briarcliff Rd, Athens, GA 30606-3404 | 2015-03-31 |
| 1356419097 | Athens Area Commencement Center | Substance Abuse Rehabilitation Facility | 1175 Mitchell Bridge Rd, Athens, GA 30606-6411 | 2006-12-01 |
| 1588089379 | Advantage Behavioral Health Systems | Substance Abuse Rehabilitation Facility | 250 North Ave, Athens, GA 30601-2244 | 2014-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457902041 | Southeast Addiction Center | Substance Abuse Rehabilitation Facility | 3020 Holcomb Bridge Rd Ste C, Norcross, GA 30071-1375 | 2019-09-25 |
| 1316591811 | Rockridge Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 11030 Jones Bridge Rd Ste 301, Johns Creek, GA 30022-4560 | 2019-08-01 |
| 1225697840 | Aspire Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 3850 Holcomb Bridge Rd Ste 215, Peachtree Corners, GA 30092-5219 | 2019-06-07 |
| 1114584570 | Metro Atlanta Treatment | Substance Abuse Rehabilitation Facility | 416 Roswell St Se, Marietta, GA 30060-2067 | 2019-05-21 |
| 1215492186 | Lanier Treatment Center | Substance Abuse Rehabilitation Facility | 592 Medical Park Dr Ste A, Gainesville, GA 30501-2055 | 2019-02-05 |
| 1700352739 | Blue Ridge Mountain Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 255 Depot St Ste 200, Ball Ground, GA 30107-4065 | 2018-10-17 |
| 1992209811 | Good Landing Recovery, Corporation | Substance Abuse Rehabilitation Facility | 256 Mcmillan Rd Ste B, Dacula, GA 30019-2337 | 2018-03-23 |
| 1164938361 | Atlanta Recovery Place | Substance Abuse Rehabilitation Facility | 1742 Mount Vernon Rd Ste 100, Atlanta, GA 30338-4251 | 2017-12-26 |
| 1548789860 | Phoenix Family Resource Center | Substance Abuse Rehabilitation Facility | 4284 Memorial Dr Ste D, Decatur, GA 30032-1220 | 2017-09-18 |
| 1164940052 | Transitions Recovery Center | Substance Abuse Rehabilitation Facility | 2855 Candler Rd Ste 16, Decatur, GA 30034-1415 | 2017-08-31 |
| 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.