SERVICORP RESOURCE CENTER, INC. (NPI# 1396012852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396012852 |
| Entity Type | Organization |
| Organization Name | SERVICORP RESOURCE CENTER, INC. |
| Other Organization Name | SERVICORP COUNSELING SERVICES |
| Practice Address |
1904 Highland Avenue Augusta GA 30904 |
| Mailing Address |
1904 Highland Ave Augusta GA 30904-5305 |
| Practice Telephone | 7067552095 |
| Practice Fax Number | 7067552095 |
| Mailing Telephone | 7067552095 |
| Mailing Fax Number | 7067552095 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | MRS. PATRICIA PRICE FRANCIS (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Telephone | 7067552095 |
| Authorized Official Credential | N/A |
| Is Organization Subpart | Y |
| Parent Organization Name | SERVICORP RESOURCE CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 020772253 | GA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| SERVICORP COUNSELING SERVICES | Doing Business As Name - Organization |
| Street Address |
1904 HIGHLAND AVENUE |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417478090 | Marie Darden | Psychologist | Augusta University Dept of Psych and Health, Augusta, GA 30912-0001 | 2017-07-04 |
| 1598042111 | Adrian Janit Psychlsvcs LLC | Psychologist | 3730b Executive Center Dr, Augusta, GA 30907-2360 | 2011-11-10 |
| 1427370014 | Susan Waldron Newkirk-sanborn | Psychologist | 250 Arsenal St., 11 State House Station, Augusta, ME 04333-0011 | 2010-02-23 |
| 1609926831 | Diane Sue Solursh | Psychologist | 2301 Wrightsboro Road, Augusta, GA 30904 | 2007-01-11 |
| 1902955511 | Jesse F Lewis | Psychologist | 3540 Wheeler Rd Ste 415, Augusta, GA 30909-1888 | 2007-01-10 |
| 1326122870 | Kairos: Following The Heart | Psychologist | 753 Broad St Ste 405, Augusta, GA 30901-1385 | 2006-10-24 |
| 1417048398 | Rebecca L. Jump | Psychologist | 211 Pleasant Home Rd Ste G1, Augusta, GA 30907-0560 | 2006-09-27 |
| 1124129333 | Sadie C Maguire | Psychologist | 448 Telfair Street, Augusta, GA 30901 | 2006-09-26 |
| 1487757720 | Mary Ellison Brouillard | Psychologist | #1 Freedom Way (26), Augusta, GA 30904-6285 | 2006-09-05 |
| 1053429837 | Sue V Moore | Psychologist | 448 Telfair St, Augusta, GA 30901-5811 | 2006-08-29 |
| Find all providers in AUGUSTA | ||||
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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.