RIVER EDGE BEHAVIORAL HEALTH CENTER (NPI# 1164961876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164961876 |
| Entity Type | Organization |
| Organization Name | RIVER EDGE BEHAVIORAL HEALTH CENTER |
| Practice Address |
281 Carl Vinson Pkwy Suite D Warner Robins GA 31088-5824 |
| Mailing Address |
175 Emery Hwy Macon GA 31217-3692 |
| Practice Telephone | 4788037899 |
| Mailing Telephone | 4788037600 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | MIRANDA NUNEZ (CCO) |
| Authorized Official Telephone | 4788037758 |
| Authorized Official Credential | LCSW |
| 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 |
|---|---|---|---|---|
| 1467965848 | River Edge Behavioral Health Center | Community/Behavioral Health | 7741 Roswell Rd Ste A, Atlanta, GA 30350-4845 | 2017-11-08 |
| 1730483306 | River Edge Behavioral Health Center | Community/Behavioral Health | 1881 Twin Pines Dr, Macon, GA 31211-1237 | 2010-12-22 |
| 1164732384 | River Edge Behavioral Health Center | Community/Behavioral Health | 1243 First Ave, Macn, GA 31204-4177 | 2010-10-21 |
| 1023204864 | River Edge Behavioral Health Center | Community/Behavioral Health | 952 Main St, Jeffersonville, GA 31044-3727 | 2007-09-14 |
| 1669668414 | River Edge Behavioral Health Center | Community/Behavioral Health | 530 Settlement Rd Ste A, Gray, GA 31032-6030 | 2007-09-14 |
| 1295899466 | River Edge Behavioral Health Center | Community/Behavioral Health | 750 Baconsfield Dr, Macon, GA 31211-1491 | 2006-12-21 |
| 1962564963 | River Edge Behavioral Health Center | Community/Behavioral Health | 4164 Riggins Mill Rd, Macon, GA 31217-5440 | 2006-12-15 |
| 1487716577 | River Edge Behavioral Health Center | Community/Behavioral Health | 151 Childs St, Gray, GA 31032-5637 | 2006-12-14 |
| 1104988351 | River Edge Behavioral Health Center | Community/Behavioral Health | 626 Spring St, Macon, GA 31201-2028 | 2006-12-14 |
| 1013079268 | River Edge Behavioral Health Center | Community/Behavioral Health | 217a Emery Hwy, Macon, GA 31217-3615 | 2006-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RIVER EDGE BEHAVIORAL HEALTH CENTER | 175 Emery Hwy, Macon, GA 31217-3692 |
| Street Address |
281 CARL VINSON PKWY SUITE D |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-5824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| 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 |
|---|---|---|---|---|
| 1538799952 | Triumphant Therapeutic Services, LLC | Community/Behavioral Health | 108 Olympia Dr Ste 202c, Warner Robins, GA 31093-3626 | 2020-01-24 |
| 1023579778 | Empowered Living Counseling and Life Coaching, LLC | Community/Behavioral Health | 409 Brantley Rdg, Warner Robins, GA 31088-2578 | 2019-03-26 |
| 1245776665 | Providence Psychotherapy LLC | Community/Behavioral Health | 304 Cheshire Dr, Warner Robins, GA 31088-1158 | 2017-01-09 |
| 1285090662 | Clara Braswell Lpc | Community/Behavioral Health | 418 Westcliff Cir, Warner Robins, GA 31093-3099 | 2016-01-14 |
| 1184059156 | Pinnacle Counseling | Community/Behavioral Health | 151 Tabor Dr, Warner Robins, GA 31093-8703 | 2013-09-10 |
| 1225378029 | Trinity Behavioral Health | Community/Behavioral Health | 344a Corder Road, Warner Robins, GA 31088-5854 | 2013-02-15 |
| 1104188341 | Beacon Insight Counseling | Community/Behavioral Health | 104 Whiting Way Ste 200, Warner Robins, GA 31088-8055 | 2012-06-13 |
| 1699040584 | Mentor Plus Inc. | Community/Behavioral Health | 114-a South Commercial Cir, Warner Robins, GA 31088 | 2012-03-12 |
| 1750619789 | Inspire-hope Counseling and Consulting, LLC | Community/Behavioral Health | 507 N Davis Dr, Suite E, Warner Robins, GA 31093-2686 | 2009-12-02 |
| 1184865339 | Great Expectations Unlimited, LLC | Community/Behavioral Health | 309 Corder Rd, Ste 1, Warner Robins, GA 31088-3645 | 2009-03-18 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
Please comment or provide details below to improve the information on RIVER EDGE BEHAVIORAL HEALTH CENTER.
| 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.