BULLOCH RECOVERY RESOURCES (NPI# 1689993461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689993461 |
| Entity Type | Organization |
| Organization Name | BULLOCH RECOVERY RESOURCES |
| Practice Address |
18 Simmons Center Statesboro GA 30458 |
| Practice Telephone | 9124898401 |
| Practice Fax Number | 9124894316 |
| Mailing Telephone | 9124898401 |
| Mailing Fax Number | 9124894316 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |
| Authorized Official Name | CINDY MITCHELL HOWARD (OWNER-COUNSELOR) |
| Authorized Official Telephone | 9124898401 |
| Is Organization Subpart | Y |
| Parent Organization Name | BULLOCH DUI RISK REDUCTION, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
2010000179 | GA | Ambulatory Health Care Facilities |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
2010000179 | GA | Ambulatory Health Care Facilities |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
2010000179 | GA | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
2010000179 | GA | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
2010000179 | GA | Ambulatory Health Care Facilities |
| Street Address |
18 SIMMONS CENTER |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497217715 | Peachtree Recovery Centers, LLC | Clinic/Center | 3975 Roswell Rd Ne Ste 104, Atlanta, GA 30342-4119 | 2019-04-04 |
| 1902374812 | Centered Recovery Programs, LLC | Clinic/Center | 1000 Piedmont Rd, Marietta, GA 30066-4032 | 2018-11-08 |
| 1255816302 | Brainscience Recovery.works | Clinic/Center | 4233 Pleasant Hill Rd Ste 110, Duluth, GA 30096-1609 | 2018-09-25 |
| 1619469665 | First Georgia Counseling Services LLC | Clinic/Center | 921 W Taylor St, Griffin, GA 30223-2605 | 2018-06-05 |
| 1952899775 | Manifest Recovery | Clinic/Center | 1215 Hightower Trl Ste 201, Sandy Springs, GA 30350-6244 | 2018-04-26 |
| 1003317538 | East Point Recovery Center | Clinic/Center | 100 Governors Trce Ste 110, Peachtree City, GA 30269-4853 | 2018-02-21 |
| 1538671011 | Summit Wellness Group, Inc | Clinic/Center | 745 Hembree Pl, Roswell, GA 30076-4035 | 2017-10-24 |
| 1891214375 | Centered Recovery Programs, LLC | Clinic/Center | 1250 Upper Hembree Rd Ste E, Roswell, GA 30076-4651 | 2017-09-15 |
| 1386009520 | Georgia Detox and Recovery, LLC | Clinic/Center | 2812 Hillcreek Dr Ste B, Augusta, GA 30909-5632 | 2015-12-15 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30458 |
Please comment or provide details below to improve the information on BULLOCH RECOVERY RESOURCES.
| 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.