CARTERSVILLE CENTER, LLC DBA CARTERSVILLE COMPREHENSIVE TREATMENT CEN (NPI# 1386652022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386652022 |
| Entity Type | Organization |
| Organization Name | CARTERSVILLE CENTER, LLC DBA CARTERSVILLE COMPREHENSIVE TREATMENT CEN |
| Practice Address |
218 Stonewall St Cartersville GA 30120-3628 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 7703861907 |
| Practice Fax Number | 7706070883 |
| Mailing Telephone | 8552592288 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | KIM SANDERSON (IMTERIM PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 8552592288 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA HEALTHCARE COMPANY, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
NOT NUMBERED | GA | Ambulatory Health Care Facilities |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Street Address |
218 STONEWALL ST |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386112340 | Tracy Ann Marcellini | Licensed Practical Nurse | 218 Stonewall St, Cartersville, GA 30120-3628 | 2018-11-08 |
| 1487122495 | Elisa Robinson | Licensed Vocational Nurse | 218 Stonewall St, Cartersville, GA 30120-3628 | 2018-11-07 |
| 1811465222 | Dana Gelane Tidwell | Licensed Practical Nurse | 218 Stonewall St, Cartersville, GA 30120-3628 | 2018-11-05 |
| 1285101899 | Rosemary Naples-simmons | Counselor | 218 Stonewall St, Cartersville, GA 30120-3628 | 2018-11-01 |
| 1629545223 | Sheila Walker | Counselor | 218 Stonewall St, Cartersville, GA 30120 | 2018-11-01 |
| 1205303740 | Johnnie Willie Wilson IIi | Counselor | 218 Stonewall St, Cartersville, GA 30120-3628 | 2018-11-01 |
| 1366919987 | Jonas Akpassa | Counselor | 218 Stonewall St, Cartersville, GA 30120-3628 | 2018-11-01 |
| 1164999777 | Mercedes Hutch Thompson | Counselor | 218 Stonewall St, Cartersville, GA 30120-3628 | 2018-11-01 |
| 1821565433 | Maria Cristina Moncayo Gilstrap | Counselor | 218 Stonewall St, Cartersville, GA 30120-3628 | 2018-11-01 |
| 1194292722 | Roberta Jean Robinson | Counselor | 218 Stonewall St, Cartersville, GA 30120-3628 | 2018-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
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| 1912528696 | Pittard Clinic LLC | Clinic/Center | 1654 Falls Rd, Toccoa, GA 30577 | 2020-05-04 |
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1275165755 | Walton County Treatment Center LLC | Clinic/Center | 3543 Highway 81 Ste 201, Loganville, GA 30052-4336 | 2020-02-12 |
| 1023640596 | Georgia Treatment Center LLC | Clinic/Center | 514 W Maple St Ste 1206, Cumming, GA 30040-2536 | 2020-02-12 |
| 1417587502 | Ringgold Treatment Center LLC | Clinic/Center | 8292 Highway 41, Ringgold, GA 30736-2354 | 2020-01-17 |
| 1952931164 | Southeast Georgia Treatment Center | Clinic/Center | 816 Professional Center Dr, Eastman, GA 31023-6734 | 2020-01-16 |
| 1508405150 | Woodstock Treatment Center LLC | Clinic/Center | 270 Heritage Walk, Woodstock, GA 30188-3875 | 2019-12-30 |
| 1588208128 | Narquest Healthcare Services, LLC | Clinic/Center | 1766 Memorial Dr Ste 3, Waycross, GA 31501-1098 | 2019-11-06 |
| 1619511334 | Douglasville Healthcare Services, LLC | Clinic/Center | 4158 Washington Rd Ste 4, Evans, GA 30809-4720 | 2019-11-06 |
| Find all providers with the same taxonomy | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
Please comment or provide details below to improve the information on CARTERSVILLE CENTER, LLC DBA CARTERSVILLE COMPREHENSIVE TREATMENT CEN.
| 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.