COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA (NPI# 1477074698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477074698 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA |
| Practice Address |
1114 Clarks Mill Rd Louisville GA 30434-5304 |
| Mailing Address |
223 N Anderson Dr Swainsboro GA 30401-4440 |
| Practice Telephone | 4786257214 |
| Practice Fax Number | 4786257240 |
| Mailing Telephone | 4782892683 |
| Mailing Fax Number | 4782892798 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Authorized Official Name | KEITH MORAN (CFO) |
| Authorized Official Telephone | 4782726811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000709288T | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| 1205357522 | Community Service Board of Middle Georgia | Community/Behavioral Health | 762 Old Millen Hwy, Waynesboro, GA 30830-8808 | 2017-06-28 |
| 1073647905 | Community Service Board of Middle Georgia | Community/Behavioral Health | 600 N Jefferson St, Dublin, GA 31021-6302 | 2007-03-15 |
| 1982738811 | Community Service Board of Middle Georgia | Community/Behavioral Health | 2121a Bellevue Rd Bldg 9, Dublin, GA 31021-2998 | 2007-03-15 |
| 1912030008 | Community Service Board of Middle Georgia | Community/Behavioral Health | 410 Lakeside Drive, Mcrae, GA 31055 | 2007-03-14 |
| 1689707150 | Community Service Board of Middle Georgia | Community/Behavioral Health | 417 Louisiana Ave E, Soperton, GA 30457-1126 | 2007-03-14 |
| 1578696928 | Community Service Board of Middle Georgia | Community/Behavioral Health | 2121a Bellevue Rd Bldg 7, Dublin, GA 31021-2998 | 2007-03-14 |
| 1164555744 | Community Service Board of Middle Georgia | Community/Behavioral Health | 621 Plaza Ave, Eastman, GA 31023-6753 | 2007-03-13 |
| 1144741364 | Community Service Board of Middle Georgia | Community/Behavioral Health | 109 Cherry St, Sylvania, GA 30467-6405 | 2017-06-28 |
| 1134640451 | Community Service Board of Middle Georgia | Clinic/Center | 207 N Anderson Dr, Swainsboro, GA 30401-4440 | 2017-06-28 |
| Street Address |
1114 CLARKS MILL RD |
| City | LOUISVILLE |
| State | GA |
| Zip Code | 30434-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437209665 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 1114 Clarks Mill Rd, Louisville, GA 30434-5304 | 2007-01-11 |
| 1851811210 | Community Service Board of Middle Georgia | Community/Behavioral Health | 1114 Clarks Mill Rd, Louisville, GA 30434-5304 | 2017-06-26 |
| 1124358692 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 1114 Clarks Mill Rd, Louisville, GA 30434-5304 | 2010-01-06 |
| 1245385087 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 1114 Clarks Mill Rd, Louisville, GA 30434-5304 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255503934 | Tonya M Gunby Dmd PC | Dentist | 502 Screven Street, Louisville, GA 30434 | 2008-04-02 |
| 1023187564 | Bobbie W. Jones | Registered Nurse | 2501 Hwy 1 N, Louisville, GA 30434 | 2006-11-07 |
| 1083797898 | Catherine Cates Rabun | Registered Nurse | 2501 U. S. Hwy 1 N, Louisville, GA 30434 | 2006-10-23 |
| 1659461028 | Shirlee T. Johnson | Registered Nurse | 2501highway 1 N, Louisville, GA 30434 | 2006-10-13 |
| 1033209572 | Janet Raines Pilcher | Registered Nurse | 2501 Highway One North, Louisville, GA 30434 | 2006-10-13 |
| 1760420202 | Andrea Byrd Doak | Physician Assistant | 1067 Peachtree St, Louisville, GA 30434 | 2006-06-04 |
| 1205889623 | Jefferson County Board of Health | Public Health or Welfare | 2501 U.S. Highway # 1 North, Louisville, GA 30434 | 2006-05-18 |
| 1467631648 | Kimberly J Clarkbrake | Registered Nurse | 2501 Highway One North, Louisville, GA 30434 | 2007-10-24 |
| 1114003241 | Mary Ellen Chalker | Registered Nurse | 2501 Highway One North, Louisville, GA 30434 | 2006-10-31 |
| 1376787499 | Positive Choice...a Step In The Right Direction | Community/Behavioral Health | 480 Forrest Dr, Louisville, GA 30434-1348 | 2009-04-21 |
| Find all providers in zip 30434 | ||||
| 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 |
|---|---|---|---|---|
| 1326649542 | Vivaria Counseling, Plc | Community/Behavioral Health | 3602 Kahlert Ave, Louisville, KY 40215-1815 | 2020-11-04 |
| 1972101368 | Solutions Counseling Center Lllp | Community/Behavioral Health | 12700 Townepark Way Ste 305, Louisville, KY 40243-2543 | 2020-10-16 |
| 1710585088 | Vicki S Ragsdell, Phd Pllc | Community/Behavioral Health | 12004 Log Cabin Ln, Louisville, KY 40223-2218 | 2020-10-09 |
| 1609483031 | Divine Steps Inc. | Community/Behavioral Health | 3050 W Broadway Ste 1d, Louisville, KY 40211-1475 | 2020-09-29 |
| 1972129591 | Evolved Counseling | Community/Behavioral Health | 8814 Talon Ridge Dr, Louisville, KY 40229-6648 | 2020-06-19 |
| 1497378111 | Alternative Youth Services, Inc. | Community/Behavioral Health | 11218 Professional Park Dr, Louisville, KY 40291-4476 | 2020-05-28 |
| 1801419379 | Kykonnect LLC | Community/Behavioral Health | 2731 Antone Pkwy, Louisville, KY 40220-3476 | 2020-05-19 |
| 1588299580 | Minority Mental Health Project | Community/Behavioral Health | 642 S 2nd St Apt 1007, Louisville, KY 40202-2443 | 2020-03-10 |
| 1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
| 1124687132 | Mended Behavioral & Mental Health Services | Community/Behavioral Health | 6407 Bardstown Rd, Louisville, KY 40291-3040 | 2019-06-12 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 30434 |
Please comment or provide details below to improve the information on COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA.
| 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.