CLINICAL INTERVENTION SPECIALISTS (NPI# 1164677159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164677159 |
Entity Type | Organization |
Organization Name | CLINICAL INTERVENTION SPECIALISTS |
Practice Address |
6859 Slate Stone Way Se Mableton GA 30126-5469 |
Mailing Address |
696 Mount Zion Rd Suite 9-c Jonesboro GA 30236-1597 |
Practice Telephone | 7707453556 |
Practice Fax Number | 7707456903 |
Mailing Telephone | 6788021970 |
Enumeration Date | 2008-11-18 |
Last Update Date | 2008-11-18 |
Authorized Official Name | LOUTINA RENA MURRELL (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6784220723 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
6859 SLATE STONE WAY SE |
City | MABLETON |
State | GA |
Zip Code | 30126-5469 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346413101 | Loutina Rena Murrell | Social Worker | 6859 Slate Stone Way Se, Suite 3-c, Mableton, GA 30126-5469 | 2008-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083256804 | Thelwell Immediate Care Clinic Inc | Clinic/Center | 1400 Veterans Memorial Highway Se Suite 134 #176, Mableton, GA 30126 | 2019-10-14 |
1467011049 | Iora Senior Health, Inc. | Internal Medicine | 5015 Floyd Rd, Suite 710, Mableton, GA 30126 | 2019-06-07 |
1649677626 | Wonderfully Made Wellness, Inc. | Specialist | 464 Vinings Vintage Circle Se, Mableton, GA 30126 | 2014-11-19 |
1811240633 | The Adult Resource Coalition | Community/Behavioral Health | 609 Hunnicut Rd, Mableton, GA 30126 | 2012-10-17 |
1922389253 | American Current Care Pa | Clinic/Center | 1025 Veterans Memorial, Mableton, GA 30126 | 2011-08-31 |
1558504308 | Eddie Joe Turner Jr. | Emergency Medicine | 4855 Floyd Rd Sw, Mableton, GA 30126 | 2009-04-09 |
1285881227 | Community Dental Services Inc | Dentist | 5761 Mableton Parkway, Mableton, GA 30126 | 2008-08-21 |
1396932281 | Kevin Duane Larry | Counselor | 1119 Silvergate Ln, Mableton, GA 30126 | 2007-09-25 |
1164634440 | Mableton Dental Inc | Dentist | 5841 Mableton Pkwy, Mableton, GA 30126 | 2007-05-07 |
1104038686 | Charles L Davenport Jr. | Pharmacist | 558 Ivey Way S.e., Mableton, GA 30126 | 2007-05-04 |
Find all providers in zip 30126 |
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 |
---|---|---|---|---|
1407478654 | Resiliency Speaks, LLC | Community/Behavioral Health | 1400 Veterans Memorial Hwy Se Ste 134, Mableton, GA 30126-2952 | 2020-05-11 |
1356700041 | Maternal Insync LLC | Community/Behavioral Health | 5149 Madison Green Dr Sw, Mableton, GA 30126-2151 | 2016-02-23 |
1457690497 | Ace Community Support Services LLC | Community/Behavioral Health | 1400 Veterans Memorial Hwy Se # 262, Mableton, GA 30126-2945 | 2013-02-12 |
1811240633 | The Adult Resource Coalition | Community/Behavioral Health | 609 Hunnicut Rd, Mableton, GA 30126 | 2012-10-17 |
1548403223 | The Brownstone Project, LLC | Community/Behavioral Health | 5284 Floyd Rd Sw, 1535, Mableton, GA 30126-6124 | 2009-04-10 |
1447485016 | A.c.e. Comminity Support Service, LLC | Community/Behavioral Health | 1025 Veterans Memorial Hwy Se, Ste.310, Mableton, GA 30126-7707 | 2009-05-26 |
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 |
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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.