SOUTHEAST ARTS ASSOCIATION


Address: 477 Village Square Ct, Stone Mountain, GA 30083-4274
Phone: 2515541092

SOUTHEAST ARTS ASSOCIATION (NPI# 1821641382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821641382
Entity Type Organization
Organization Name SOUTHEAST ARTS ASSOCIATION
Practice Address 477 Village Square Ct
Stone Mountain
GA 30083-4274
Practice Telephone 2515541092
Practice Fax Number 4044653650
Mailing Telephone 2515541092
Enumeration Date 2019-07-23
Last Update Date 2019-07-23
Authorized Official Name CANDACE LUCAS (PROGRAM MANAGER)
Authorized Official Telephone 2515541092
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 251B00000X Case Management Agencies
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Creative Expressions Counseling and Training Doing Business As Name - Organization

Office Location

Street Address 477 VILLAGE SQUARE CT
City STONE MOUNTAIN
State GA
Zip Code 30083-4274

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194378364 Candace Lucas Counselor 477 Village Square Ct, Stone Mountain, GA 30083-4274 2019-07-17

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NPI Name Taxonomy Address Enumeration
1558830919 Patriot Healthcare of Georgia, LLC Family Medicine 833 Hairston Road, Stone Mountain, GA 30083 2018-11-15
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1447770482 Dispatched Angels Home Care In Home Supportive Care 619 El Prado Court, Stone Mountain, GA 30083 2017-06-21
1396191086 Suzanne Carter Chore Provider 1036 Allgood Rd, Stone Mountain, GA 30083 2016-05-11
1437520087 Meaza Dada Pharmacist 1043 Thornwoode Lane, Stone Mountain, GA 30083 2015-10-08
1427436500 Raeanne Elizabeth Gialanella Occupational Therapist 5839 Memorial Drive, Stone Mountain, GA 30083 2015-05-11
1265829824 Latore Williams Licensed Practical Nurse 5300 Ridge Forest Drive, Stone Mountain, GA 30083 2015-04-22
1144625922 Granville Theodore Freeman IIi Counselor 5000 Brittany Drive, Stone Mountain, GA 30083 2014-10-23
1588974208 Terri R Collins Counselor 1020 Strap Hinge Trail, Stone Mountain, GA 30083 2010-10-15
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285247270 Hudu Yoga & Therapy Community/Behavioral Health 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 2020-08-28
1457908303 Arms Wide Open Community/Behavioral Health 871 Forest Path, Stone Mountain, GA 30088-2245 2019-08-23
1821546995 Change Agents Counseling & Consulting, LLC Community/Behavioral Health 5115 Chastleton Dr, Stone Mountain, GA 30087-1443 2016-09-16
1881077659 Latisha Mcwilliams Community/Behavioral Health 4346 Crestridge Ln, Stone Mountain, GA 30083-6104 2015-06-29
1891174256 Andrea Teresa Ashe Community/Behavioral Health 4666 Randalwood Dr, Stone Mountain, GA 30083-4350 2015-05-19
1841600871 Diversified Counseling & Counsulting Community/Behavioral Health 490 S Stone Mtn Lithonia Rd, 88, Stone Mountain, GA 30088-1532 2014-04-29
1992128995 New Progressions of Georgia, LLC Community/Behavioral Health 1298 Rockbridge Rd, Suite D, Stone Mountain, GA 30087-3000 2014-01-27
1962824466 Ican Think Positive Counseling and Coaching Services Community/Behavioral Health 5405 Memorial Dr Bldg C, Stone Mountain, GA 30083-3234 2014-01-17
1194158253 The Counseling Healing Center, LLC Community/Behavioral Health 5300 Memorial Dr Ste 141, Stone Mountain, GA 30083-3155 2013-08-13
1639515992 Serenity Candles & Soaps, Inc. Community/Behavioral Health 1872 Chedworth Ln, Stone Mountain, GA 30087-2121 2013-05-14
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Competitor

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City STONE MOUNTAIN
Zip Code 30083

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Dataset Information

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.

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