GEORGIA YOUTH NETWORK INC (NPI# 1841486305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841486305 |
| Entity Type | Organization |
| Organization Name | GEORGIA YOUTH NETWORK INC |
| Other Organization Name | GEORGIA FAMILY THERAPY SERVICES INC |
| Practice Address |
925 Main St Suite 104 Stone Mountain GA 30083-3098 |
| Mailing Address |
Po Box 82322 Conyers GA 30013-9434 |
| Practice Telephone | 7703448704 |
| Practice Fax Number | 7702161723 |
| Mailing Telephone | 7703448704 |
| Mailing Fax Number | 7702161723 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |
| Authorized Official Name | MRS. JANINE PORTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7703448704 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NONE | GA | Agencies |
| Other Name | Type Code |
|---|---|
| Georgia Family Therapy Services Inc | Doing Business As Name - Organization |
| Street Address |
925 MAIN ST SUITE 104 |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-3098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205295425 | Prn Sitters, LLC | Home Health | 925 Main St, Suite 300-21, Stone Mountain, GA 30083-3098 | 2016-02-16 |
| 1962872218 | Eastside Surgical Assistants LLC | Specialist/Technologist, Other | 925 Main St, Suite 300-07, Stone Mountain, GA 30083-3098 | 2015-09-30 |
| 1043385131 | Tonya Grissam | Pediatrics | 925 Main St, Stone Mountain, GA 30083-3098 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 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 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on GEORGIA YOUTH NETWORK INC.
| 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.