SOUTHERN BRIDGE COUNSELING, LLC (NPI# 1326407453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326407453 |
| Entity Type | Organization |
| Organization Name | SOUTHERN BRIDGE COUNSELING, LLC |
| Practice Address |
100 Shoshone Circle Kathleen GA 31047 |
| Practice Telephone | 9106895190 |
| Mailing Telephone | 9106895190 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Authorized Official Name | DARLA JACKSON (CO OWNER) |
| Authorized Official Telephone | 9106895190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891156758 | Southern Bridge Counseling, LLC | Community/Behavioral Health | 3100 Moody Rd, Ste. A, Bonaire, GA 31005 | 2016-03-18 |
| Street Address |
100 SHOSHONE CIRCLE |
| City | KATHLEEN |
| State | GA |
| Zip Code | 31047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955678 | Marica Lashone Sanders | Licensed Practical Nurse | 301 -3 Club Villa Court, Kathleen, GA 31047 | 2020-09-03 |
| 1841831583 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 660 Lake Joy Rd Ste D, Kathleen, GA 31047 | 2019-10-03 |
| 1679091805 | Georgia Dental Professionals, PC | Dentist | 674 Lake Joy Rd, Kathleen, GA 31047 | 2017-09-08 |
| 1811411812 | Sherri Rogers | Nurse Practitioner | 1470 Highway 247 South, Kathleen, GA 31047 | 2017-08-01 |
| 1356863294 | David Taylor Payne Iv | Specialist/Technologist | 105 Bob White Rd, Kathleen, GA 31047 | 2017-07-12 |
| 1669994786 | Stacie Knight | Dentist | 674 Lake Joy Road, Kathleen, GA 31047 | 2017-07-11 |
| 1922451913 | Georgia Family Eyecare LLC | Optometrist | 678 Lake Joy Rd., Suite B, Kathleen, GA 31047 | 2016-07-14 |
| 1982959615 | Magnolia Surgery, PC | Surgery | 1118 Highway 96 West, Suite 1, Kathleen, GA 31047 | 2012-07-18 |
| 1346454162 | Emergency Care At Lake Joy | Clinic/Center | 1118 Hwy 96 West Suite 1, Kathleen, GA 31047 | 2007-05-10 |
| 1629162219 | Kimberley Rhodes Ham | Family Medicine | 2510 Hwy 127, Houston Lake Medstop, Kathleen, GA 31047 | 2006-10-03 |
| Find all providers in zip 31047 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902835 | Physicans At Home, LLC | Case Management | 1850 Blackwater Dr, Marietta, GA 30066-6712 | 2020-11-05 |
| 1699374934 | Primary Health Care Resource Service, Lp | Case Management | 5405 Memorial Dr Ste 101, Stone Mountain, GA 30083-3234 | 2020-10-19 |
| 1235736182 | Think Big Youth Organization LLC | Case Management | 9784 E Oglethorpe Hwy Ste C, Midway, GA 31320-4546 | 2020-10-05 |
| 1861008344 | Forever Home Care LLP | Case Management | 337 Oakview Way, Canton, GA 30114-1805 | 2020-09-20 |
| 1013523885 | Kingdom Expressions Atl LLC | Case Management | 101 W Campbellton St, Fairburn, GA 30213-1218 | 2020-09-17 |
| 1942814959 | The Evolve Center of Counseling & Coaching | Case Management | 8509 Dunwoody Pl, Atlanta, GA 30350-3330 | 2020-09-08 |
| 1245843671 | Talent Squad, LLC | Case Management | 4004 Castle Way, Fairburn, GA 30213-4712 | 2020-08-25 |
| 1477173706 | Patientory | Case Management | 3423 Piedmont Rd Ne Ste 373, Atlanta, GA 30305-1751 | 2020-04-16 |
| 1821626516 | Created2empower Counseling Services,llc | Case Management | 1001 Virginia Ave Ste 330, Atlanta, GA 30354-1367 | 2020-03-30 |
| 1245867795 | Melissa Carol Jenkins | Case Management | 154 Hill Rd, Lyons, GA 30436-4450 | 2020-03-25 |
| 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.